EDITION BY MORRISON VALFRE COMPLETE GUIDE CHAPTER 1-33
Chapter01:TheHistoryofMentalHealthCare
Morrison-Valfre:FoundationsofMentalHealthCare,6thEdition
MULTIPLECHOICE
1. ThebeliefoftheancientGreekphilosopherPlatothattherationalsoulcontrolledtheirrationalsoul
couldbecomparedwiththebeliefofthemorerecentpsychologicaltheorist:
a. Freud
b. Pinel
c. Fisher
d. Rush
ANS:A
SigmundFreudbelievedthatmentalillnesswas,inpart,causedbyforcesbothwithinandoutsidethep
ersonality.PhilippePineladvocatedacceptanceofmentallyillindividualsashumanbeingsinneedof
medicalassistance.AliceFisherwasaFlorenceNightingalenursewhocaredforthementallyill,and
Dr.BenjaminRushwastheauthorofthebookDiseasesoftheMind.
PTS:1 DIF: CognitiveLevel:Comprehension
REF:p.4OBJ:2
TOP:EarlyYearsofMentalHealth
KEY:NursingProcessStep:Assessment MSC:ClientNeeds:PsychosocialIntegrity
2. Duringthemid-
1500s,behaviorsassociatedwithmentalillnessweremoreaccuratelyrecordedbyprofession
als.Thispracticeledto
fordifferentabnormal
behaviors.
a. Classifications
b. Diagnosing
c. Treatment
d. Education
ANS:A
Classificationofabnormalbehaviorsdidnotbeginuntilthistime,afterthepracticeofmoreaccuratere
cordingofbehaviorswasbegun.Diagnoses,treatmentguidelines,andanyeducationregardingment
alhealthdisorderswerenotavailableduringthisperiod.
PTS:1 DIF: CognitiveLevel:Knowledge
REF:p.5OBJ:3
TOP:MentalIllnessDuringtheRenaissance
KEY:NursingProcessStep:Assessment MSC:ClientNeeds:PsychosocialIntegrity
3. Duringthelatterpartoftheeighteenthcentury,psychiatrybecameaseparatebranchofmedicine,a
ndinhumanetreatmentwasgreatlydiminishedbytheFrenchhospitaldirector:
a. Dix
b. Beers
c. Pinel
d. Carter
ANS:C
PhilippePineladvocatedacceptanceofthementallyill,aswellaspropertreatment.DorotheaDixcrus
Verified-Testbank
, adedforconstructionofmentalhealthhospitals.CliffordBeerswrotethebookAMindThatFoundItse
lf.PresidentJimmyCarterestablishedthePresident’sCommissiononMentalHealthin1978.
PTS:1 DIF: CognitiveLevel:Knowledge
REF:p.5OBJ:4
TOP:MentalIllnessintheEighteenthCentury
KEY:NursingProcessStep:Assessment MSC:ClientNeeds:PsychosocialIntegrity
4. In1841,
surveyedasylums,jails,andalmshousesthroughouttheUnitedStates,
Canada,andScotlandandiscreditedwithbringingaboutpublicawarenessandreformforthecareofth
ementallyill.
a. SigmundFreud
b. JohnCade
c. FlorenceNightingale
d. DorotheaDix
ANS:D
DorotheaDixspent20yearssurveyingfacilitiesthathousedmentallyillindividualsandiscreditedwi
thmajorchangesinthecareofthementallyill.SigmundFreudintroducedtheconceptofpsychoanalys
is,JohnCadediscoveredlithiumcarbonateforthetreatmentofbipolardisorder,andFlorenceNightin
galetrainednursesinEnglandinthe1800s.
PTS:1 DIF: CognitiveLevel:Knowledge
REF:p.6OBJ:4
TOP:MentalIllnessintheNineteenthCentury
KEY:NursingProcessStep:Assessment MSC:ClientNeeds:PsychosocialIntegrity
5. AsadirectresultofCliffordN
B e eRr s ’ I
worG
ka nBd .b C
o o k ,MA MindThatFoundItself,theCommitteeforMent
USN
alHygienewasformedin1909withafocusonpreventionofmentalillnessand:
a. Earlydetectionofsymptomsofmentalillness
b. Educationofcaregivers
c. Currenttreatmentoptions
d. Removingthestigmaattachedtomentalillness
ANS:D
CliffordBeers’bookreflectedonhisattemptatsuicidefollowedbythedeplorablecarehereceivedfor
thenext3yearsinmentalhospitals.Beers’workandbookraisedtheconsciousnessofpeoplethrougho
utthecountryregardingpreventionandremovalofthestigmaofhavingamentalillness.Earlydetectio
nofsymptoms,educationofcaregivers,andcurrenttreatmentoptionsregardingmentalillnessweren
otthefocusofhisbook,norweretheyapriorityfortheCommitteeforMentalHygiene.
PTS:1 DIF: CognitiveLevel:Knowledge
REF:p.6OBJ:4
TOP:MentalIllnessintheTwentiethCentury
KEY:NursingProcessStep:Assessment MSC:ClientNeeds:PsychosocialIntegrity
6. Duringthe1930s,whatcommontreatmentforschizophreniacausedclientstofallintoacomathatcoul
dlastaslongas50hours?
a. Electroconvulsivetherapy
b. Insulintherapy
c. Humoraltherapy
Verified-Testbank
, d. Amphetaminetherapy
ANS:B
Insulintherapywasbelievedtosuccessfullytreatschizophreniaintheearly1900s.Amphetaminesw
ereusedtotreatdepression,andelectroconvulsivetherapywasusedforseveredepression.Humoralt
herapy,whichoriginatedinancientGreeceandRome,wasabeliefthatmentalillnessresultedfromani
mbalanceofthehumorsofair,fire,water,andearth.
PTS:1 DIF: CognitiveLevel:Knowledge
REF:p.8OBJ:5
TOP:InfluencesofWaronMentalHealthTherapies
KEY:NursingProcessStep:Assessment MSC:ClientNeeds:PsychosocialIntegrity
7. Inthe1930s,whatmentalhealthdisorderwaselectroconvulsivetherapy(ECT)mostoftenusedtot
reat?
a. Schizophrenia
b. Bipolardisorder
c. Severedepression
d. Violentbehavior
ANS:C
ECTwasfoundtobeaneffectivetreatmentforseveredepressioninthe1930s.Duringthisperiod,schizop
hreniawastreatedwithinsulintherapy,andviolentbehaviorwastreatedwithalobotomy.In1949,lithiu
mcarbonatewasdiscoveredasatreatmentforbipolardisorder.
PTS:1 DIF: CognitiveLevel:Knowledge
REF:p.6OBJ:5
TOP:InfluencesofWaronMentalHealthTherapies
KEY:NursingProcessStep:AN
s s e sR
s meI
n t GMSB
C:.C
ClieM
ntNeeds:PsychosocialIntegrity
USNT O
8. Intheearlytwentiethcentury,afrontallobotomywasacommontreatmentforviolent
behaviors.Whichdescriptionofthisprocedureisaccurate?
a. Aprocedurethatdeliversanelectricalstimulustothefrontallobesofthebrain
b. Asurgicalprocedurethatdrillsholesinthefrontoftheskulltodrainfluid
c. Asurgicalprocedurethatseversthefrontallobesofthebrainfromthethalamus
d. Asurgicalprocedurethatinsertsimplantsintothefrontallobesofthebrain
ANS:C
Afrontallobotomyisasurgicalprocedureinwhichthefrontallobesofthebrainareseveredfromtheth
alamus.
PTS:1 DIF: CognitiveLevel:Knowledge
REF:p.6OBJ:5
TOP:InfluencesofWaronMentalHealthTherapies
KEY:NursingProcessStep:Assessment MSC:ClientNeeds:PsychosocialIntegrity
9. Whichclassofdrugswasintroducedinthe1930sforthetreatmentofdepression?
a. SSRIs
b. Tricyclicantidepressants
c. MAOIs
d. Amphetamines
ANS:D
, Inthe1930s,amphetamineswerefoundtoboostthespiritsofdepressedpeople.SSRIs,tricyclicantid
epressants,andMAOIsareantidepressantagents,buttheywerenotdiscovereduntilmuchlater.
PTS:1 DIF: CognitiveLevel:Knowledge
REF:p.6OBJ:5
TOP:InfluencesofWaronMentalHealthTherapies
KEY:NursingProcessStep:Assessment MSC:ClientNeeds:PsychosocialIntegrity
10. In1937,CongresspassedtheHill-
BurtonAct,whichwassignificantforthetreatmentofmentalhealthbecauseitfunded:
a. Researchondrugsforthetreatmentofmentalhealthdisorders
b. Trainingofmentalhealthprofessionals
c. ConstructionofpsychiatricunitsinfacilitiesthroughoutNorthAmerica
d. Developmentofcommunitymentalhealthclinics
ANS:C
TheHill-
BurtonActprovidedmoneyfortheconstructionofpsychiatricunitsintheUnitedStates.Researchondru
gswasnotapartoftheHill-
BurtonAct.TrainingofmentalhealthprofessionalswasfundedbytheNationalMentalHealthActof194
6,andcommunitymentalhealthcenterswerenotinstituteduntilthe1960s.
PTS:1 DIF: CognitiveLevel:Knowledge REF:p.6
OBJ:5|9 TOP:InfluencesofWaronMentalHealthTherapies
KEY:NursingProcessStep:Assessment MSC:ClientNeeds:PsychosocialIntegrity
11. TheNationalMentalHealthActof1946providedameansforfundingofprogramsthatpromote
researchonmentalhealthand:
a. DevelopmentofmentalhNeaUltR
hSclI icG
inN nBth.eC
siT Mmunity
coOm
b. Trainingofmentalhealthprofessionals
c. Treatmentforveteranssufferingfrommentalhealthdisorders
d. Educatingthepublicaboutmentalillness
ANS:B
TheNationalMentalHealthActof1946providedmuchneededtrainingforindividualswhocaredfor
patientswithmentalhealthdisorders.Communitymentalhealthclinicswereinitiatedinthe1960s,tre
atmentforveteranswasnotfundedbythisact,andeducationofthepublicoccurredlater.
PTS:1 DIF: CognitiveLevel:Knowledge
REF:p.6OBJ:5|9
TOP:InfluencesofWaronMentalHealthTherapies
KEY:NursingProcessStep:Assessment MSC:ClientNeeds:PsychosocialIntegrity
12. Whichofthefollowingbestdescribesthedisorderthatwasfirstrecognizedinveteransfollowi
ngtheKoreanandVietnamWars?
a. Depression
b. Bipolardisorder
c. Post-traumaticstressdisorder
d. Paranoidschizophrenicdisorder
ANS:C