Foundations of mental health care Ch 1-5
During the latter part of the 18th century, psychiatry became a separate branch of medicine, and
inhumane treatment was greatly diminished by the French hospital Director - (correct Answer) - Pinel
Philip Pinel advocated acceptance of the mentally ill, as well as proper treatment. Dorothea Dix crusaded
for construction of mental health hospitals. Clifford Beers wrote the book a mind that found itself.
President Jimmy Carter established the president's commission on mental health in 1978
In 1841, _______________ surveyed asylums, jails, and almshouses throughout the United States,
Canada, and Scotland and is credited with bringing about public awareness and reform for the care of
the mentally ill. - (correct Answer) - Dorothea Dix
Dorthea Dix spent 20 years surveying facilities that house mentally ill individuals and is credited with
major changes in the care of the mentally ill. Sigmund Freud introduced the concept of psychoanalysis,
John Cade discovered lithium carbonate for the treatment of bipolar disorder, and Florence Nightingale
train nurses in England in the 1800s.
As a direct result of Clifford Beers' work and book, A Mind That Found Itself, the Committee for Mental
Hygiene was formed in 1909 with a focus on prevention of mental illness and: - (correct Answer) -
Removing the stigma attached to mental illness
Clifford Beers' book reflected on his attempt at suicide followed by the deplorable care he received for
the next three years in mental hospitals. Beers' work and book raise the consciousness of people
throughout the country regarding prevention and removal of the stigma of having a mental illness. Early
detection of symptoms, education of caregivers, and current treatment options regarding mental illness
were not the focus of his book, nor were they a priority for the Committee for Mental Hygiene.
During the 1930s, what common treatment for schizophrenia caused clients to fall into a coma that
could last as long as 50 hours? - (correct Answer) - insulin therapy
Insulin therapy was believed to successfully treat schizophrenia in the early 1900s. Amphetamines were
used to treat depression, and electroconvulsive therapy was used for severe depression. Humoral
therapy, which originated in ancient Greece and Rome, was a belief that mental illness resulted from an
imbalance of the humors of air, fire, water, and earth.
In the 1930s, what mental health disorder was electroconvulsive therapy ECT most often used to treat? -
(correct Answer) - severe depression
ECT was found to be an effective treatment for severe depression in the 1930s. During this period,
schizophrenia was treated with insulin therapy, and violent behavior was treated with a lobotomy. In
1949, lithium carbonate was discovered as a treatment for bipolar disorder.
In the early 20th century, a frontal lobotomy was a common treatment for violent behaviors. Which
description of this procedure is accurate? - (correct Answer) - A surgical procedure that servers the
frontal lobes of the brain from the thalmus
Which of the following best describes disorder that was first recognized in veterans following the Korean
, and Vietnam wars? - (correct Answer) - posttraumatic stress disorder
Post traumatic stress disorder was initially discovered in veterans who had been involved in armed
conflicts. The other disorders also occurred in veterans but we're not first recognize insultdiers who were
fighting the wars.
The introduction of ___ in the 1950s led to the deinstitutionalization of mini mental ill mentally ill
individuals. - (correct Answer) - Psychotherapeutic drugs
Psychotherapeutic drugs allowed for better control of behaviors than did other therapies alone during
the 1950s. Patients were being released from state mental health facilities as a result of
psychotherapeutic drug therapy. Community mental health clinics and residential treatment centers
resulted from the de institutionalization all of patience.
In 1949, and Australian physician discovered which therapy to be an effective treatment for bipolar
(manic-depressive) illness? - (correct Answer) - Lithium carbonate therapy
To this day, lithium is a treatment that is used to effectively balance the manic states and depressive
states of bipolar disorder. None of the other therapies listed are effective for bipolar disorder.
The Omnibus Budget Reform Act (OBRA) of 1987 prevented the housing of people with chronic mental
illness in: - (correct Answer) - nursing homes
Many mentally ill, especially elderly, people were inappropriately placed in nursing homes with
personnel who were not trained to care for these people. OBRA of prevented this practice. State mental
health facilities, residential treatment centers, and homeless shelters were not addressed in the OBRA of
1987
A client suffering from chronic mental illness often forgets to take her medication and needs to be
reminded to take care of daily hygiene. She does not have family or other support persons living in the
area. The care delivery most beneficial for this client is: - (correct Answer) - Residential program
Residential programs offer the protected, supervised environment this client needs to be compliant.
Emergency care has stabilization and crisis as its focus, psychiatric home care works with clients and
families in transition, and community mental health centers deal with crisis, counseling, and education.
The Home mental health nurse visits a female client to assess her ability to care for herself at home after
discharge from an inpatient setting. Which component of the case management system does this
demonstrate? - (correct Answer) - Psychosocial rehabilitation
Psychosocial rehabilitation assists clients in gaining independence and activities of daily living to the best
of their individual capabilities. Consultation refers to assistance obtained from specialists, such as a
psychiatrist; crisis intervention refers to care providing during a crisis events; and resource linkage
indicates referral to community resources
A woman is admitted to an inpatient psychiatric unit after a suicide attempt by overdose. The primary
rational for her admission is to: - (correct Answer) - Provide her with a safe and secure environment
The most important advantage of inpatient psychiatric care is that it provides clients with a safe and
secure environment where they can focus on and work with the problems that brought them there.
During the latter part of the 18th century, psychiatry became a separate branch of medicine, and
inhumane treatment was greatly diminished by the French hospital Director - (correct Answer) - Pinel
Philip Pinel advocated acceptance of the mentally ill, as well as proper treatment. Dorothea Dix crusaded
for construction of mental health hospitals. Clifford Beers wrote the book a mind that found itself.
President Jimmy Carter established the president's commission on mental health in 1978
In 1841, _______________ surveyed asylums, jails, and almshouses throughout the United States,
Canada, and Scotland and is credited with bringing about public awareness and reform for the care of
the mentally ill. - (correct Answer) - Dorothea Dix
Dorthea Dix spent 20 years surveying facilities that house mentally ill individuals and is credited with
major changes in the care of the mentally ill. Sigmund Freud introduced the concept of psychoanalysis,
John Cade discovered lithium carbonate for the treatment of bipolar disorder, and Florence Nightingale
train nurses in England in the 1800s.
As a direct result of Clifford Beers' work and book, A Mind That Found Itself, the Committee for Mental
Hygiene was formed in 1909 with a focus on prevention of mental illness and: - (correct Answer) -
Removing the stigma attached to mental illness
Clifford Beers' book reflected on his attempt at suicide followed by the deplorable care he received for
the next three years in mental hospitals. Beers' work and book raise the consciousness of people
throughout the country regarding prevention and removal of the stigma of having a mental illness. Early
detection of symptoms, education of caregivers, and current treatment options regarding mental illness
were not the focus of his book, nor were they a priority for the Committee for Mental Hygiene.
During the 1930s, what common treatment for schizophrenia caused clients to fall into a coma that
could last as long as 50 hours? - (correct Answer) - insulin therapy
Insulin therapy was believed to successfully treat schizophrenia in the early 1900s. Amphetamines were
used to treat depression, and electroconvulsive therapy was used for severe depression. Humoral
therapy, which originated in ancient Greece and Rome, was a belief that mental illness resulted from an
imbalance of the humors of air, fire, water, and earth.
In the 1930s, what mental health disorder was electroconvulsive therapy ECT most often used to treat? -
(correct Answer) - severe depression
ECT was found to be an effective treatment for severe depression in the 1930s. During this period,
schizophrenia was treated with insulin therapy, and violent behavior was treated with a lobotomy. In
1949, lithium carbonate was discovered as a treatment for bipolar disorder.
In the early 20th century, a frontal lobotomy was a common treatment for violent behaviors. Which
description of this procedure is accurate? - (correct Answer) - A surgical procedure that servers the
frontal lobes of the brain from the thalmus
Which of the following best describes disorder that was first recognized in veterans following the Korean
, and Vietnam wars? - (correct Answer) - posttraumatic stress disorder
Post traumatic stress disorder was initially discovered in veterans who had been involved in armed
conflicts. The other disorders also occurred in veterans but we're not first recognize insultdiers who were
fighting the wars.
The introduction of ___ in the 1950s led to the deinstitutionalization of mini mental ill mentally ill
individuals. - (correct Answer) - Psychotherapeutic drugs
Psychotherapeutic drugs allowed for better control of behaviors than did other therapies alone during
the 1950s. Patients were being released from state mental health facilities as a result of
psychotherapeutic drug therapy. Community mental health clinics and residential treatment centers
resulted from the de institutionalization all of patience.
In 1949, and Australian physician discovered which therapy to be an effective treatment for bipolar
(manic-depressive) illness? - (correct Answer) - Lithium carbonate therapy
To this day, lithium is a treatment that is used to effectively balance the manic states and depressive
states of bipolar disorder. None of the other therapies listed are effective for bipolar disorder.
The Omnibus Budget Reform Act (OBRA) of 1987 prevented the housing of people with chronic mental
illness in: - (correct Answer) - nursing homes
Many mentally ill, especially elderly, people were inappropriately placed in nursing homes with
personnel who were not trained to care for these people. OBRA of prevented this practice. State mental
health facilities, residential treatment centers, and homeless shelters were not addressed in the OBRA of
1987
A client suffering from chronic mental illness often forgets to take her medication and needs to be
reminded to take care of daily hygiene. She does not have family or other support persons living in the
area. The care delivery most beneficial for this client is: - (correct Answer) - Residential program
Residential programs offer the protected, supervised environment this client needs to be compliant.
Emergency care has stabilization and crisis as its focus, psychiatric home care works with clients and
families in transition, and community mental health centers deal with crisis, counseling, and education.
The Home mental health nurse visits a female client to assess her ability to care for herself at home after
discharge from an inpatient setting. Which component of the case management system does this
demonstrate? - (correct Answer) - Psychosocial rehabilitation
Psychosocial rehabilitation assists clients in gaining independence and activities of daily living to the best
of their individual capabilities. Consultation refers to assistance obtained from specialists, such as a
psychiatrist; crisis intervention refers to care providing during a crisis events; and resource linkage
indicates referral to community resources
A woman is admitted to an inpatient psychiatric unit after a suicide attempt by overdose. The primary
rational for her admission is to: - (correct Answer) - Provide her with a safe and secure environment
The most important advantage of inpatient psychiatric care is that it provides clients with a safe and
secure environment where they can focus on and work with the problems that brought them there.
