lOMoAR j0 ni
j0c j0PSD|
j 0 11
700591
TEST BANK FOR j 0 j 0
Psychiatric–MentalHealthNursing9thEditionbySheilaL.
Videbeck
j0
AllChapters(1-24)
TableOfContents
UNIT 1 Current Theories and Practice
j 0 j 0 j 0 j 0 j 0
Chapter 1. Foundations of Psychiatric–Mental Health Nursing
j 0 j 0 j 0 j 0 j 0 j 0
Chapter 2. Neurobiologic Theories and Psychopharmacology
j 0 j 0 j 0 j 0 j 0 j 0
Chapter 3. Psychosocial Theories and Therapy
j0 j 0 j 0 j 0 j 0 j 0
Chapter 4. Treatment Settings and Therapeutic
j 0 j 0 j 0 j 0 j 0
ProgramsUNIT 2 Building the Nurse–Client
j0 j0 j 0 j 0 j 0 j 0
Relationship Chapter 5. Therapeutic Relationships
j0 j 0 j 0 j 0
Chapter 6. Therapeutic Communication
j0 j 0 j 0 j 0
Chapter 7. Client’s Response to j 0 j 0 j 0 j 0
Illness Chapter8.Assessment
j 0 j0 j0
UNIT 3 Current Social and Emotional Concerns
j 0 j 0 j 0 j 0 j 0 j 0
Chapter9.LegalandEthicalIssues j0 j0 j0
Chapter10.GriefandLoss
j0 j0
Chapter11.Anger,Hostility,and Aggression Chapter j0 j0 j0 ni j0
12. Abuse and Violence
j 0 j 0 j 0 j 0
UNIT 4 Nursing Practice for Psychiatric
j 0 j 0 j 0 j 0 j 0
Disorders Chapter 13. Trauma and Stressor-
j 0 j 0 j 0 j 0 j 0 j 0
Related Disorders Chapter 14. Anxiety and
j 0 j0 j 0 j 0 j 0
jAnxiety Disorders
0 j 0
Chapter 15. Obsessive–Compulsive and Related Disorders
j 0 j 0 j 0 j 0 j 0
Chapter16.Schizophrenia
j0 j0
Chapter17.Mood Disordersand Suicide ni j0
Chapter 18. Personality Disorders
j0 j0 j0 j0
Chapter19.Addiction
j0 j0
Chapter 20. Eating Disorders j0 j0 j0
Chapter21.SomaticSymptom Illnesses
j0 j0 ni
Chapter22.NeurodevelopmentalDisorders j0 j0
Chapter23.DisruptiveBehaviorDisorders
j0 j0
Chapter 24. Cognitive Disorders
j0 j 0 j 0 j 0
Chapter1
1. Thenurseisassessingthefactorscontributingtothewell-beingofanewlyadmittedclient. j 0
Whichofthefollowingwouldthenurseidentifyashaving apositiveimpactonthe
j 0 ni ni ni ni j0
individual'smentalhealth?
j0
A) Notneedingothersforcompanionship ni
B) Theabilitytoeffectivelymanagestress ni
C) Afamilyhistoryofmentalillness
D) Strivingfortotalself- ni
reliance Ans: B j0 j0
Feedback:
Individualfactorsinfluencingmentalhealthincludebiologicmakeup,autonomy, j0
independence,self-esteem,capacityforgrowth,vitality,abilitytofindmeaninginlife,
j0 j0 j0
emotionalresilienceorhardiness,senseofbelonging,realityorientation,and copingorstress
j0 j0 j0 ni
managementabilities.Interpersonalfactors such as intimacyandabalanceofseparatenessand
j0 j0 ni ni ni ni ni
connectednessarebothneededforgoodmentalhealth,andthereforea
j0 ni ni ni
, lOMoAR j0 ni
j0c j0PSD|
j 0 11
700591
healthypersonwouldneedothersforcompanionship.Afamilyhistoryofmentalillnesscould
ni ni ni
j relatetothebiologicmakeupofanindividual,whichmayhaveanegativeimpactonan
0 j0
jindividual'smentalhealth,aswellasanegativeimpactonanindividual'sinterpersonaland
0 j 0
j socialñculturalfactorsofhealth.Totalself-relianceisnotpossible,andapositive
0 j0
social/culturalfactorisaccesstoadequateresources.
j0
2. Whichofthefollowingstatementsabout mentalillnessaretrue? Selectallthat apply. ni ni j0 j0 ni ni
A) Mentalillnesscancausesignificantdistress,impairedfunctioning,orboth. ni
B) Mentalillnessisonlyduetosocial/cultural factors. j0
C) Social/culturalfactorsthatrelatetomentalillnessincludeexcessivedependencyon ni
orwithdrawalfromrelationships.
j 0 ni
D) Individualssufferingfrommentalillnessareusuallyabletocopeeffectivelywith daily ni ni
life. j 0
E) Individualssufferingfrommentalillnessmayexperiencedissatisfactionwith ni ni ni
relationshipsandself.
j0
Ans: A,D,E j0 j0
Feedback:
Mentalillnesscancausesignificantdistress, impairedfunctioning,orboth.Mentalillness j0 j0
mayberelatedtoindividual,interpersonal,orsocial/culturalfactors.Excessivedependency
j0 j0 j0 j0
onorwithdrawalfromrelationshipsareinterpersonalfactorsthatrelatetomentalillness.
j0
Individualssuffering frommentalillnesscanfeeloverwhelmed withdailylife.Individuals ni ni j0
sufferingfrommentalillnessmayexperiencedissatisfactionwith relationshipsand self.
j0 ni ni ni ni ni
3. Whichofthefollowingaretrueregardingmentalhealthand mentalillness?
ni j0 ni ni j0 ni
A) Behaviorthatmaybeviewedasacceptableinonecultureisalwaysunacceptablein ni ni ni
othercultures.
j 0
B) Itis easytodetermineifapersonismentallyhealthyormentallyill.
ni j 0 ni
C) Inmost cases,mentalhealthisastateofemotional,psychological,and social
ni j0 j0 j0 ni
wellnessevidencedbysatisfyinginterpersonalrelationships,effectivebehavior
j0 ni ni ni ni
and coping,positiveself-concept,andemotionalstability.
j0 ni j0 j0
D) Personswhoengageinfantasiesarementallyill. ni
Ans: C
j0 j0
Feedback:
Whatonesocietymayviewasacceptableandappropriatebehavior,anothersocietymaysee
j thatasmaladaptive,andinappropriate.Mentalhealth andmentalillnessaredifficulttodefine
0 j0 j0 ni
precisely.In mostcases,mentalhealthisastateofemotional,psychological,andsocial
j0 j0 ni j0 j0
wellnessevidencedbysatisfyinginterpersonalrelationships,effectivebehaviorandcoping,
j0 ni j 0
jpositiveself-concept,andemotionalstability.Personswhoengagein fantasiesmaybe
0 j0 j0 ni
mentallyhealthy,buttheinabilitytodistinguish realityfromfantasyisanindividualfactor
j0 j0 ni
thatmaycontributetomentalillness.
j0
4. Aclientgrievingtherecentlossofherhusbandasksifsheisbecomingmentallyill ni j 0
jbecausesheissosad.Thenurse'sbestresponsewouldbe,
0 j0
A) ìYoumayhaveatemporarymentalillnessbecauseyouareexperiencingsomuchpain.î ni ni
B) ìYouarenotmentallyill.Thisisanexpectedreactiontothelossyou have ni j0 ni
experienced.î j0
C) ìWereyougenerallydissatisfiedwithyourrelationshipbeforeyourhusband's ni
death?î j0
D) ìTrynottoworryabout that right now.Youneverknowwhat thefuturebrings.î Ans: B
ni ni ni ni ni j 0 j 0
Feedback:
Mentalillnessincludesgeneraldissatisfactionwith self,ineffectiverelationships,ineffective ni j0 j0
coping,andlackofpersonalgrowth.Additionallythebehaviormust notbe
j0 ni j0 ni ni
, lOMoAR j0 ni
j0c j0PSD|
j 0 11
700591
culturallyexpected. Acutegriefreactionsareexpectedand thereforenotconsideredmental j0 ni
illness.Falsereassurance oroveranalysisdoesnotaccuratelyaddresstheclient's concerns.
j0 ni ni ni
5. Thenurseconsultsthe DSMforwhichofthefollowingpurposes? j0
A) Todeviseaplanofcareforanewlyadmittedclient ni
B) Topredicttheclient'sprognosisof treatmentoutcomes ni ni
C) Todocumenttheappropriatediagnosticcodeintheclient'smedicalrecord
D) Toserveasaguideforclientassessment ni
Ans: D
j0 j0
Feedback:
The DSMprovidesstandardnomenclature,presentsdefiningcharacteristics, andidentifies
j0 j0
underlyingcausesofmentaldisorders. Itdoesnotprovidecareplansorprognosticoutcomes
j0 j0
oftreatment.DiagnosisofmentalillnessisnotwithinthegeneralistRN'sscopeofpractice,so
j0 ni
documentingthecodeinthemedicalrecordwouldbeinappropriate.
j0 ni ni ni ni ni j0
6. Whichwouldbeareason fora studentnurseto usetheDSM? ni j0 ni j0 j0
A) Identifyingthemedicaldiagnosis ni
B) Treatclients ni
C) Evaluatetreatments
D) Understandthereasonfortheadmissionandthenatureofpsychiatricillnesses.Ans: ni ni j0
j D 0
Feedback:
Althoughstudentnursesdonot usetheDSMtodiagnoseclients,theywillfind ita helpful ni j0 j0 j0 ni ni
resourcetounderstandthereasonfortheadmissionandtobeginbuildingknowledgeabout
j0 j 0
j thenatureofpsychiatricillnesses.Identifyingthemedicaldiagnosis,treating,and evaluating
0 ni ni j0 ni ni j0 j0 ni
treatmentsarenotapartofthenursingprocess.
j0
7. Thelegislationenactedin1963waslargelyresponsibleforwhichofthefollowingshiftsin care ni ni ni ni j 0
jforthementallyill?
0
A) Thewidespreaduseofcommunity-basedservices
ni j0
B) Theadvancementinpharmacotherapies
ni j0
C) Increasedaccesstohospitalization ni ni
D) Improvedrightsforclientsinlong-terminstitutionalcare ni ni
Ans: A
j0 j0
Feedback:
TheCommunityMentalHealthCentersConstructionActof1963accomplishedtherelease
ni j0 ni ni ni j0
ofindividualsfromlong-termstaysinstateinstitutions,thedecreasein admissionsto
j0 j0 ni
hospitals,andthedevelopmentofcommunity-basedservicesasanalternativetohospital
j0 j0
care.
j0
8. Whichoneofthefollowingisaresult offederallegislation? ni ni j0
A) Makingit easiertocommitpeopleformentalhealth treatmentagainsttheirwill.
ni ni j0 ni j0
B) Makingitmoredifficulttocommit peopleformentalhealthtreatment againsttheir
ni ni ni ni ni ni j0
will. j0
C) Statementalinstitutionsbeingtheprimarysource ofcareformentallyillpersons. ni j0
D) Improvedcareformentallyillpersons. ni
Ans: B
j0 j0
Feedback:
, lOMoAR j0 ni
j0c j0PSD|
j 0 11
700591
Commitmentlawschangedintheearly1970s,making itmoredifficulttocommitpeoplefor ni j 0
j mentalhealthtreatment against theirwill.Deinstitutionalizationaccomplished therelease
0 ni ni j0 ni
ofindividualsfromlong-termstaysinstateinstitutions.Deinstitutionalizationalsohad
j0 j0
negativeeffectsinthatsomementallyillpersonsaresubjectedtotherevolvingdooreffect,
j0 ni ni j 0
j whichmaylimitcareformentallyillpersons.
0 ni
9. Thegoalofthe1963 CommunityMentalHealthCentersActwasto j0 j0
A) ensurepatients'rightsfor thementallyill. j 0
B) deinstitutionalizestatehospitals.
C) providefundstobuild hospitalswithpsychiatricunits.
ni ni
D) treatpeoplewithmentalillnessin ahumanefashion.
ni ni ni ni ni
Ans: B
j0 j0
Feedback:
The1963CommunityMentalHealth CentersActintimatedthemovementtoward treating
j0 j0 j0 ni ni
thosewithmentalillnessinalessrestrictiveenvironment.Thislegislationresultedin the
j0 j0 ni
shiftofclientswithmentalillnessfromlargestateinstitutionstocarebasedinthe
j0 j 0
j community.AnswerchoicesA,C, and Dwerenotpurposesofthe1963CommunityMental
0 ni ni j0 j0
HealthCentersAct.
j0 j0
10. Thecreationofasylumsduringthe1800swas meantto j0 ni ni j0
A) improvetreatment ofmentaldisorders. j0
B) providefoodandshelterforthementallyill.
C) punishpeoplewithmentalillnesswhowerebelievedtobepossessed. ni
D) removedangerouspeoplewithmentalillnessfromthecommunity. ni ni
Ans: B
j0 j0
Feedback:
Theasylumwasmeanttobeasafehavenwithfood,shelter,andhumanetreatmentforthe ni ni ni
j mentallyill.Asylumswerenotusedtoimprovetreatmentofmentaldisordersortopunish
0 ni j 0
j mentallyillpeoplewhowerebelievedtobepossessed. Theasylumwasnotcreatedto
0 j0
jremovethedangerouslymentallyillfromthecommunity.
0
11. Themajorproblemswithlargestateinstitutionsare: Select all thatapply. j0 ni j0
A) attendantswereaccusedofabusingthe residents. ni ni j0
B) stigmaassociatedwithresidenceinaninsaneasylum. ni
C) clientsweregeographicallyisolated fromfamilyand community.
ni j0 j0 ni
D) increasingfinancialcoststoindividualresidents. ni ni ni
Ans: A,C
j0 j0
Feedback:
Clientswereoftenfarremovedfromthelocalcommunity,family,andfriendsbecausestate ni ni j0 ni j0
institutionswereusuallyinruralorremotesettings. ChoicesBandDwerenotmajor
j0 j0
jproblemsassociatedwithlargestateinstructions.
0 ni
12. Asignificantchangeinthetreatmentofpeoplewithmentalillnessoccurredinthe1950swhen ni ni
A) communitysupport serviceswereestablished. j0
B) legislationdramaticallychanged civilcommitmentprocedures. ni ni j0
C) thePatient'sBillofRightswasenacted.
ni j0 ni
D) psychotropicdrugsbecameavailableforuse. ni ni
Ans: D
j0 j0
Feedback:
Thedevelopmentofpsychotropicdrugs,ordrugsusedtotreatmentalillness,beganin the ni ni
j 1950s.AnswerchoicesA,B,andCdidnotoccurinthe1950s.
0 j0 j0 ni j0
13. Beforethe periodoftheenlightenment,treatmentofthementallyillincluded
ni j0 ni
j0c j0PSD|
j 0 11
700591
TEST BANK FOR j 0 j 0
Psychiatric–MentalHealthNursing9thEditionbySheilaL.
Videbeck
j0
AllChapters(1-24)
TableOfContents
UNIT 1 Current Theories and Practice
j 0 j 0 j 0 j 0 j 0
Chapter 1. Foundations of Psychiatric–Mental Health Nursing
j 0 j 0 j 0 j 0 j 0 j 0
Chapter 2. Neurobiologic Theories and Psychopharmacology
j 0 j 0 j 0 j 0 j 0 j 0
Chapter 3. Psychosocial Theories and Therapy
j0 j 0 j 0 j 0 j 0 j 0
Chapter 4. Treatment Settings and Therapeutic
j 0 j 0 j 0 j 0 j 0
ProgramsUNIT 2 Building the Nurse–Client
j0 j0 j 0 j 0 j 0 j 0
Relationship Chapter 5. Therapeutic Relationships
j0 j 0 j 0 j 0
Chapter 6. Therapeutic Communication
j0 j 0 j 0 j 0
Chapter 7. Client’s Response to j 0 j 0 j 0 j 0
Illness Chapter8.Assessment
j 0 j0 j0
UNIT 3 Current Social and Emotional Concerns
j 0 j 0 j 0 j 0 j 0 j 0
Chapter9.LegalandEthicalIssues j0 j0 j0
Chapter10.GriefandLoss
j0 j0
Chapter11.Anger,Hostility,and Aggression Chapter j0 j0 j0 ni j0
12. Abuse and Violence
j 0 j 0 j 0 j 0
UNIT 4 Nursing Practice for Psychiatric
j 0 j 0 j 0 j 0 j 0
Disorders Chapter 13. Trauma and Stressor-
j 0 j 0 j 0 j 0 j 0 j 0
Related Disorders Chapter 14. Anxiety and
j 0 j0 j 0 j 0 j 0
jAnxiety Disorders
0 j 0
Chapter 15. Obsessive–Compulsive and Related Disorders
j 0 j 0 j 0 j 0 j 0
Chapter16.Schizophrenia
j0 j0
Chapter17.Mood Disordersand Suicide ni j0
Chapter 18. Personality Disorders
j0 j0 j0 j0
Chapter19.Addiction
j0 j0
Chapter 20. Eating Disorders j0 j0 j0
Chapter21.SomaticSymptom Illnesses
j0 j0 ni
Chapter22.NeurodevelopmentalDisorders j0 j0
Chapter23.DisruptiveBehaviorDisorders
j0 j0
Chapter 24. Cognitive Disorders
j0 j 0 j 0 j 0
Chapter1
1. Thenurseisassessingthefactorscontributingtothewell-beingofanewlyadmittedclient. j 0
Whichofthefollowingwouldthenurseidentifyashaving apositiveimpactonthe
j 0 ni ni ni ni j0
individual'smentalhealth?
j0
A) Notneedingothersforcompanionship ni
B) Theabilitytoeffectivelymanagestress ni
C) Afamilyhistoryofmentalillness
D) Strivingfortotalself- ni
reliance Ans: B j0 j0
Feedback:
Individualfactorsinfluencingmentalhealthincludebiologicmakeup,autonomy, j0
independence,self-esteem,capacityforgrowth,vitality,abilitytofindmeaninginlife,
j0 j0 j0
emotionalresilienceorhardiness,senseofbelonging,realityorientation,and copingorstress
j0 j0 j0 ni
managementabilities.Interpersonalfactors such as intimacyandabalanceofseparatenessand
j0 j0 ni ni ni ni ni
connectednessarebothneededforgoodmentalhealth,andthereforea
j0 ni ni ni
, lOMoAR j0 ni
j0c j0PSD|
j 0 11
700591
healthypersonwouldneedothersforcompanionship.Afamilyhistoryofmentalillnesscould
ni ni ni
j relatetothebiologicmakeupofanindividual,whichmayhaveanegativeimpactonan
0 j0
jindividual'smentalhealth,aswellasanegativeimpactonanindividual'sinterpersonaland
0 j 0
j socialñculturalfactorsofhealth.Totalself-relianceisnotpossible,andapositive
0 j0
social/culturalfactorisaccesstoadequateresources.
j0
2. Whichofthefollowingstatementsabout mentalillnessaretrue? Selectallthat apply. ni ni j0 j0 ni ni
A) Mentalillnesscancausesignificantdistress,impairedfunctioning,orboth. ni
B) Mentalillnessisonlyduetosocial/cultural factors. j0
C) Social/culturalfactorsthatrelatetomentalillnessincludeexcessivedependencyon ni
orwithdrawalfromrelationships.
j 0 ni
D) Individualssufferingfrommentalillnessareusuallyabletocopeeffectivelywith daily ni ni
life. j 0
E) Individualssufferingfrommentalillnessmayexperiencedissatisfactionwith ni ni ni
relationshipsandself.
j0
Ans: A,D,E j0 j0
Feedback:
Mentalillnesscancausesignificantdistress, impairedfunctioning,orboth.Mentalillness j0 j0
mayberelatedtoindividual,interpersonal,orsocial/culturalfactors.Excessivedependency
j0 j0 j0 j0
onorwithdrawalfromrelationshipsareinterpersonalfactorsthatrelatetomentalillness.
j0
Individualssuffering frommentalillnesscanfeeloverwhelmed withdailylife.Individuals ni ni j0
sufferingfrommentalillnessmayexperiencedissatisfactionwith relationshipsand self.
j0 ni ni ni ni ni
3. Whichofthefollowingaretrueregardingmentalhealthand mentalillness?
ni j0 ni ni j0 ni
A) Behaviorthatmaybeviewedasacceptableinonecultureisalwaysunacceptablein ni ni ni
othercultures.
j 0
B) Itis easytodetermineifapersonismentallyhealthyormentallyill.
ni j 0 ni
C) Inmost cases,mentalhealthisastateofemotional,psychological,and social
ni j0 j0 j0 ni
wellnessevidencedbysatisfyinginterpersonalrelationships,effectivebehavior
j0 ni ni ni ni
and coping,positiveself-concept,andemotionalstability.
j0 ni j0 j0
D) Personswhoengageinfantasiesarementallyill. ni
Ans: C
j0 j0
Feedback:
Whatonesocietymayviewasacceptableandappropriatebehavior,anothersocietymaysee
j thatasmaladaptive,andinappropriate.Mentalhealth andmentalillnessaredifficulttodefine
0 j0 j0 ni
precisely.In mostcases,mentalhealthisastateofemotional,psychological,andsocial
j0 j0 ni j0 j0
wellnessevidencedbysatisfyinginterpersonalrelationships,effectivebehaviorandcoping,
j0 ni j 0
jpositiveself-concept,andemotionalstability.Personswhoengagein fantasiesmaybe
0 j0 j0 ni
mentallyhealthy,buttheinabilitytodistinguish realityfromfantasyisanindividualfactor
j0 j0 ni
thatmaycontributetomentalillness.
j0
4. Aclientgrievingtherecentlossofherhusbandasksifsheisbecomingmentallyill ni j 0
jbecausesheissosad.Thenurse'sbestresponsewouldbe,
0 j0
A) ìYoumayhaveatemporarymentalillnessbecauseyouareexperiencingsomuchpain.î ni ni
B) ìYouarenotmentallyill.Thisisanexpectedreactiontothelossyou have ni j0 ni
experienced.î j0
C) ìWereyougenerallydissatisfiedwithyourrelationshipbeforeyourhusband's ni
death?î j0
D) ìTrynottoworryabout that right now.Youneverknowwhat thefuturebrings.î Ans: B
ni ni ni ni ni j 0 j 0
Feedback:
Mentalillnessincludesgeneraldissatisfactionwith self,ineffectiverelationships,ineffective ni j0 j0
coping,andlackofpersonalgrowth.Additionallythebehaviormust notbe
j0 ni j0 ni ni
, lOMoAR j0 ni
j0c j0PSD|
j 0 11
700591
culturallyexpected. Acutegriefreactionsareexpectedand thereforenotconsideredmental j0 ni
illness.Falsereassurance oroveranalysisdoesnotaccuratelyaddresstheclient's concerns.
j0 ni ni ni
5. Thenurseconsultsthe DSMforwhichofthefollowingpurposes? j0
A) Todeviseaplanofcareforanewlyadmittedclient ni
B) Topredicttheclient'sprognosisof treatmentoutcomes ni ni
C) Todocumenttheappropriatediagnosticcodeintheclient'smedicalrecord
D) Toserveasaguideforclientassessment ni
Ans: D
j0 j0
Feedback:
The DSMprovidesstandardnomenclature,presentsdefiningcharacteristics, andidentifies
j0 j0
underlyingcausesofmentaldisorders. Itdoesnotprovidecareplansorprognosticoutcomes
j0 j0
oftreatment.DiagnosisofmentalillnessisnotwithinthegeneralistRN'sscopeofpractice,so
j0 ni
documentingthecodeinthemedicalrecordwouldbeinappropriate.
j0 ni ni ni ni ni j0
6. Whichwouldbeareason fora studentnurseto usetheDSM? ni j0 ni j0 j0
A) Identifyingthemedicaldiagnosis ni
B) Treatclients ni
C) Evaluatetreatments
D) Understandthereasonfortheadmissionandthenatureofpsychiatricillnesses.Ans: ni ni j0
j D 0
Feedback:
Althoughstudentnursesdonot usetheDSMtodiagnoseclients,theywillfind ita helpful ni j0 j0 j0 ni ni
resourcetounderstandthereasonfortheadmissionandtobeginbuildingknowledgeabout
j0 j 0
j thenatureofpsychiatricillnesses.Identifyingthemedicaldiagnosis,treating,and evaluating
0 ni ni j0 ni ni j0 j0 ni
treatmentsarenotapartofthenursingprocess.
j0
7. Thelegislationenactedin1963waslargelyresponsibleforwhichofthefollowingshiftsin care ni ni ni ni j 0
jforthementallyill?
0
A) Thewidespreaduseofcommunity-basedservices
ni j0
B) Theadvancementinpharmacotherapies
ni j0
C) Increasedaccesstohospitalization ni ni
D) Improvedrightsforclientsinlong-terminstitutionalcare ni ni
Ans: A
j0 j0
Feedback:
TheCommunityMentalHealthCentersConstructionActof1963accomplishedtherelease
ni j0 ni ni ni j0
ofindividualsfromlong-termstaysinstateinstitutions,thedecreasein admissionsto
j0 j0 ni
hospitals,andthedevelopmentofcommunity-basedservicesasanalternativetohospital
j0 j0
care.
j0
8. Whichoneofthefollowingisaresult offederallegislation? ni ni j0
A) Makingit easiertocommitpeopleformentalhealth treatmentagainsttheirwill.
ni ni j0 ni j0
B) Makingitmoredifficulttocommit peopleformentalhealthtreatment againsttheir
ni ni ni ni ni ni j0
will. j0
C) Statementalinstitutionsbeingtheprimarysource ofcareformentallyillpersons. ni j0
D) Improvedcareformentallyillpersons. ni
Ans: B
j0 j0
Feedback:
, lOMoAR j0 ni
j0c j0PSD|
j 0 11
700591
Commitmentlawschangedintheearly1970s,making itmoredifficulttocommitpeoplefor ni j 0
j mentalhealthtreatment against theirwill.Deinstitutionalizationaccomplished therelease
0 ni ni j0 ni
ofindividualsfromlong-termstaysinstateinstitutions.Deinstitutionalizationalsohad
j0 j0
negativeeffectsinthatsomementallyillpersonsaresubjectedtotherevolvingdooreffect,
j0 ni ni j 0
j whichmaylimitcareformentallyillpersons.
0 ni
9. Thegoalofthe1963 CommunityMentalHealthCentersActwasto j0 j0
A) ensurepatients'rightsfor thementallyill. j 0
B) deinstitutionalizestatehospitals.
C) providefundstobuild hospitalswithpsychiatricunits.
ni ni
D) treatpeoplewithmentalillnessin ahumanefashion.
ni ni ni ni ni
Ans: B
j0 j0
Feedback:
The1963CommunityMentalHealth CentersActintimatedthemovementtoward treating
j0 j0 j0 ni ni
thosewithmentalillnessinalessrestrictiveenvironment.Thislegislationresultedin the
j0 j0 ni
shiftofclientswithmentalillnessfromlargestateinstitutionstocarebasedinthe
j0 j 0
j community.AnswerchoicesA,C, and Dwerenotpurposesofthe1963CommunityMental
0 ni ni j0 j0
HealthCentersAct.
j0 j0
10. Thecreationofasylumsduringthe1800swas meantto j0 ni ni j0
A) improvetreatment ofmentaldisorders. j0
B) providefoodandshelterforthementallyill.
C) punishpeoplewithmentalillnesswhowerebelievedtobepossessed. ni
D) removedangerouspeoplewithmentalillnessfromthecommunity. ni ni
Ans: B
j0 j0
Feedback:
Theasylumwasmeanttobeasafehavenwithfood,shelter,andhumanetreatmentforthe ni ni ni
j mentallyill.Asylumswerenotusedtoimprovetreatmentofmentaldisordersortopunish
0 ni j 0
j mentallyillpeoplewhowerebelievedtobepossessed. Theasylumwasnotcreatedto
0 j0
jremovethedangerouslymentallyillfromthecommunity.
0
11. Themajorproblemswithlargestateinstitutionsare: Select all thatapply. j0 ni j0
A) attendantswereaccusedofabusingthe residents. ni ni j0
B) stigmaassociatedwithresidenceinaninsaneasylum. ni
C) clientsweregeographicallyisolated fromfamilyand community.
ni j0 j0 ni
D) increasingfinancialcoststoindividualresidents. ni ni ni
Ans: A,C
j0 j0
Feedback:
Clientswereoftenfarremovedfromthelocalcommunity,family,andfriendsbecausestate ni ni j0 ni j0
institutionswereusuallyinruralorremotesettings. ChoicesBandDwerenotmajor
j0 j0
jproblemsassociatedwithlargestateinstructions.
0 ni
12. Asignificantchangeinthetreatmentofpeoplewithmentalillnessoccurredinthe1950swhen ni ni
A) communitysupport serviceswereestablished. j0
B) legislationdramaticallychanged civilcommitmentprocedures. ni ni j0
C) thePatient'sBillofRightswasenacted.
ni j0 ni
D) psychotropicdrugsbecameavailableforuse. ni ni
Ans: D
j0 j0
Feedback:
Thedevelopmentofpsychotropicdrugs,ordrugsusedtotreatmentalillness,beganin the ni ni
j 1950s.AnswerchoicesA,B,andCdidnotoccurinthe1950s.
0 j0 j0 ni j0
13. Beforethe periodoftheenlightenment,treatmentofthementallyillincluded
ni j0 ni
