2d ni
lOMoAR
2dc 2dPSD|
2 d
11700591
TEST BANK FOR 2 d 2 d
Psychiatric–MentalHealthNursing9thEditionbySheilaL.
Videbeck
2d
AllChapters(1-24)
TableOfContents
UNIT 1 Current Theories and Practice
2 d 2 d 2 d 2 d 2 d
Chapter 1. Foundations of Psychiatric–Mental Health Nursing
2 d 2 d 2 d 2 d 2 d 2 d
2Chapter 2. Neurobiologic Theories and Psychopharmacology
d 2 d 2 d 2 d 2 d 2 d
Chapter 3. Psychosocial Theories and Therapy
2d 2 d 2 d 2 d 2 d 2 d
Chapter 4. Treatment Settings and Therapeutic
2 d 2 d 2 d 2 d 2 d
ProgramsUNIT 2 Building the Nurse–Client
2d 2d 2 d 2 d 2 d 2 d
Relationship Chapter 5. Therapeutic Relationships
2d 2 d 2 d 2 d
Chapter 6. Therapeutic Communication
2d 2 d 2 d 2 d
Chapter 7. Client’s Response to 2 d 2 d 2 d 2 d
2Illness Chapter8.Assessment
d 2d 2d
UNIT 3 Current Social and Emotional Concerns
2 d 2 d 2 d 2 d 2 d 2 d
Chapter9.LegalandEthicalIssues 2d 2d 2d
Chapter10.GriefandLoss
2d 2d
Chapter11.Anger,Hostility,and Aggression 2d 2d 2d ni
Chapter 12. Abuse and Violence
2d 2 d 2 d 2 d 2 d
UNIT 4 Nursing Practice for Psychiatric
2 d 2 d 2 d 2 d 2 d
2Disorders Chapter 13. Trauma and Stressor-
d 2 d 2 d 2 d 2 d 2 d
Related Disorders Chapter 14. Anxiety and
2 d 2d 2 d 2 d 2 d
2 Anxiety Disorders
d 2 d
Chapter 15. Obsessive–Compulsive and Related Disorders
2 d 2 d 2 d 2 d 2 d
Chapter16.Schizophrenia
2d 2d
Chapter17.Mood Disordersand Suicide ni 2d
Chapter 18. Personality Disorders
2d 2d 2d 2d
Chapter19.Addiction
2d 2d
Chapter 20. Eating Disorders 2d 2d 2d
Chapter21.SomaticSymptom Illnesses
2d 2d ni
Chapter22.NeurodevelopmentalDisorders 2d 2d
Chapter23.DisruptiveBehaviorDisorders
2d 2d
Chapter 24. Cognitive Disorders
2d 2 d 2 d 2 d
Chapter1
1. Thenurseisassessingthefactorscontributingtothewell-beingofanewlyadmittedclient. 2 d
Whichofthefollowingwouldthenurseidentifyashaving apositiveimpactonthe
2 d ni ni ni ni 2d
individual'smentalhealth?
2d
A) Notneedingothersforcompanionship ni
B) Theabilitytoeffectivelymanagestress ni
C) Afamilyhistoryofmentalillness
D) Strivingfortotalself- ni
reliance Ans: B 2d 2d
Feedback:
Individualfactorsinfluencingmentalhealthincludebiologicmakeup,autonomy, 2d
independence,self-esteem,capacityforgrowth,vitality,abilitytofindmeaninginlife,
2d 2d 2d
emotionalresilienceorhardiness,senseofbelonging,realityorientation,and copingorstress
2d 2d 2d ni
managementabilities.Interpersonalfactors such as intimacyandabalanceofseparatenessand
2d 2d ni ni ni ni ni
connectednessarebothneededforgoodmentalhealth,andthereforea
2d ni ni ni
, 2d ni
lOMoAR
2dc 2dPSD|
2 d
11700591
healthypersonwouldneedothersforcompanionship.Afamilyhistoryofmentalillnesscould
ni ni ni
2 relatetothebiologicmakeupofanindividual,whichmayhaveanegativeimpactonan
d 2d
2individual'smentalhealth,aswellasanegativeimpactonanindividual'sinterpersonaland
d 2 d
2 socialñculturalfactorsofhealth.Totalself-relianceisnotpossible,andapositive
d 2d
social/culturalfactorisaccesstoadequateresources.
2d
2. Whichofthefollowingstatementsabout mentalillnessaretrue? Select allthat apply. ni ni 2d 2d ni ni
A) Mentalillnesscancausesignificantdistress,impairedfunctioning,orboth. ni
B) Mentalillnessisonlyduetosocial/cultural factors. 2d
C) Social/culturalfactorsthatrelatetomentalillnessincludeexcessivedependencyon ni
orwithdrawalfromrelationships.
2 d ni
D) Individualssufferingfrommentalillnessareusuallyabletocopeeffectivelywith daily ni ni
life. 2 d
E) Individualssufferingfrommentalillnessmayexperiencedissatisfactionwith ni ni ni
relationshipsandself.
2d
Ans: A,D,E 2d 2d
Feedback:
Mentalillnesscancausesignificantdistress, impairedfunctioning,orboth.Mentalillness 2d 2d
mayberelatedtoindividual,interpersonal,orsocial/culturalfactors.Excessivedependency
2d 2d 2d 2d
onorwithdrawalfromrelationshipsareinterpersonalfactorsthatrelatetomentalillness.
2d
Individualssuffering frommentalillnesscanfeeloverwhelmed withdailylife.Individuals ni ni 2d
sufferingfrommentalillnessmayexperiencedissatisfactionwith relationshipsand self.
2d ni ni ni ni ni
3. Whichofthefollowingaretrueregardingmentalhealthand mentalillness?
ni 2d ni ni 2d ni
A) Behaviorthatmaybeviewedasacceptableinonecultureisalwaysunacceptablein ni ni ni
othercultures.
2 d
B) Itis easytodetermineifapersonismentallyhealthyormentallyill.
ni 2 d ni
C) Inmost cases,mentalhealthisastateofemotional,psychological,and social
ni 2d 2d 2d ni
wellnessevidencedbysatisfyinginterpersonalrelationships,effectivebehavior
2d ni ni ni ni
and coping,positiveself-concept,andemotionalstability.
2d ni 2d 2d
D) Personswhoengageinfantasiesarementallyill. ni
Ans: C
2d 2d
Feedback:
Whatonesocietymayviewasacceptableandappropriatebehavior,anothersocietymaysee
2 thatasmaladaptive,andinappropriate.Mentalhealth andmentalillnessaredifficulttodefine
d 2d 2d ni
precisely.In mostcases,mentalhealthisastateofemotional,psychological,andsocial
2d 2d ni 2d 2d
wellnessevidencedbysatisfyinginterpersonalrelationships,effectivebehaviorandcoping,
2d ni 2 d
2positiveself-concept,andemotionalstability.Personswhoengagein fantasiesmaybe
d 2d 2d ni
mentallyhealthy,buttheinabilitytodistinguish realityfromfantasyisanindividualfactor
2d 2d ni
thatmaycontributetomentalillness.
2d
4. Aclientgrievingtherecentlossofherhusbandasksifsheisbecomingmentallyill ni 2 d
2becausesheissosad.Thenurse'sbestresponsewouldbe,
d 2d
A) ìYoumayhaveatemporarymentalillnessbecauseyouareexperiencingsomuchpain.î ni ni
B) ìYouarenotmentallyill.Thisisanexpectedreactiontothelossyou have ni 2d ni
experienced.î 2d
C) ìWereyougenerallydissatisfiedwithyourrelationshipbeforeyourhusband's ni
death?î 2d
D) ìTrynottoworryabout that right now.Youneverknowwhat thefuturebrings.î Ans: B
ni ni ni ni ni 2 d 2 d
Feedback:
Mentalillnessincludesgeneraldissatisfactionwith self,ineffectiverelationships,ineffective ni 2d 2d
coping,andlackofpersonalgrowth.Additionallythebehaviormust notbe
2d ni 2d ni ni
, 2d ni
lOMoAR
2dc 2dPSD|
2 d
11700591
culturallyexpected. Acutegriefreactionsareexpectedand thereforenotconsideredmental 2d ni
illness.Falsereassurance oroveranalysisdoesnotaccuratelyaddresstheclient's concerns.
2d ni ni ni
5. Thenurseconsultsthe DSMforwhichofthefollowingpurposes? 2d
A) Todeviseaplanofcareforanewlyadmittedclient ni
B) Topredicttheclient'sprognosisof treatmentoutcomes ni ni
C) Todocumenttheappropriatediagnosticcodeintheclient'smedicalrecord
D) Toserveasaguideforclientassessment ni
Ans: D
2d 2d
Feedback:
The DSMprovidesstandardnomenclature,presentsdefiningcharacteristics, andidentifies
2d 2d
underlyingcausesofmentaldisorders. Itdoesnotprovidecareplansorprognosticoutcomes
2d 2d
oftreatment.DiagnosisofmentalillnessisnotwithinthegeneralistRN'sscopeofpractice,so
2d ni
documentingthecodein themedicalrecordwouldbeinappropriate.
2d ni ni ni ni ni 2d
6. Whichwouldbeareason fora studentnurseto usetheDSM? ni 2d ni 2d 2d
A) Identifyingthemedicaldiagnosis ni
B) Treatclients ni
C) Evaluatetreatments
D) Understandthereasonfortheadmissionandthenatureofpsychiatricillnesses.Ans: ni ni 2d
2 D d
Feedback:
Althoughstudentnursesdonot usetheDSMtodiagnoseclients,theywillfind ita helpful ni 2d 2d 2d ni ni
resourcetounderstandthereasonfortheadmissionandtobeginbuildingknowledgeabout
2d 2 d
2 thenatureofpsychiatricillnesses.Identifyingthemedicaldiagnosis,treating,and evaluating
d ni ni 2d ni ni 2d 2d ni
treatmentsarenotapartofthenursingprocess.
2d
7. Thelegislationenactedin1963waslargelyresponsibleforwhichofthefollowingshiftsin care ni ni ni ni 2 d
2forthementallyill?
d
A) Thewidespreaduseofcommunity-basedservices
ni 2d
B) Theadvancementinpharmacotherapies
ni 2d
C) Increasedaccesstohospitalization ni ni
D) Improvedrightsforclientsinlong-terminstitutionalcare ni ni
Ans: A
2d 2d
Feedback:
TheCommunityMentalHealthCentersConstructionActof1963accomplishedtherelease
ni 2d ni ni ni 2d
ofindividualsfromlong-termstaysinstateinstitutions,thedecreasein admissionsto
2d 2d ni
hospitals,andthedevelopmentofcommunity-basedservicesasanalternativetohospital
2d 2d
care.
2d
8. Whichoneofthefollowingisaresult offederallegislation? ni ni 2d
A) Makingit easiertocommitpeopleformentalhealth treatmentagainsttheirwill.
ni ni 2d ni 2d
B) Makingitmoredifficulttocommit peopleformentalhealthtreatment againsttheir
ni ni ni ni ni ni 2d
will. 2d
C) Statementalinstitutionsbeingtheprimarysource ofcareformentallyillpersons. ni 2d
D) Improvedcareformentallyillpersons. ni
Ans: B
2d 2d
Feedback:
, lOMoAR 2d ni
2dc 2dPSD|
2 d
11700591
Commitmentlawschangedintheearly1970s,making itmoredifficulttocommitpeoplefor ni 2 d
2 mentalhealthtreatment against theirwill.Deinstitutionalizationaccomplished therelease
d ni ni 2d ni
ofindividualsfromlong-termstaysinstateinstitutions.Deinstitutionalizationalsohad
2d 2d
negativeeffectsinthatsomementallyillpersonsaresubjectedtotherevolvingdooreffect,
2d ni ni 2 d
2 whichmaylimitcareformentallyillpersons.
d ni
9. Thegoalofthe1963 CommunityMentalHealth CentersActwasto 2d 2d
A) ensurepatients'rightsfor thementallyill. 2d
B) deinstitutionalizestatehospitals.
C) providefundstobuild hospitalswithpsychiatricunits.
ni ni
D) treatpeoplewithmentalillnessin ahumanefashion.
ni ni ni ni ni
Ans: B
2d 2d
Feedback:
The1963CommunityMentalHealth CentersActintimatedthemovementtoward treating
2d 2d 2d ni ni
thosewithmentalillnessinalessrestrictiveenvironment.Thislegislationresultedin the
2d 2d ni
shiftofclientswithmentalillnessfromlargestateinstitutionstocarebasedinthe
2d 2 d
2 community.AnswerchoicesA,C, and Dwerenotpurposesofthe1963CommunityMental
d ni ni 2d 2d
HealthCentersAct.
2d 2d
10. Thecreationofasylumsduringthe1800swas meantto 2d ni ni 2d
A) improvetreatment ofmentaldisorders. 2d
B) providefoodandshelterforthementallyill.
C) punishpeoplewithmentalillnesswhowerebelievedtobepossessed. ni
D) removedangerouspeoplewithmentalillnessfromthecommunity. ni ni
Ans: B
2d 2d
Feedback:
Theasylumwasmeanttobeasafehavenwithfood,shelter,andhumanetreatmentforthe ni ni ni
2 mentallyill.Asylumswerenotusedtoimprovetreatmentofmentaldisordersortopunish
d ni 2 d
2 mentallyillpeoplewhowerebelievedtobepossessed.Theasylumwasnotcreatedto
d 2d
2removethedangerouslymentallyillfromthecommunity.
d
11. Themajorproblemswithlargestateinstitutionsare: Select all thatapply. 2d ni 2d
A) attendantswereaccusedofabusingthe residents. ni ni 2d
B) stigmaassociatedwithresidenceinaninsaneasylum. ni
C) clientsweregeographicallyisolated fromfamilyand community.
ni 2d 2d ni
D) increasingfinancialcoststoindividualresidents. ni ni ni
Ans: A,C
2d 2d
Feedback:
Clientswereoftenfarremovedfromthelocalcommunity,family,andfriendsbecausestate ni ni 2d ni 2d
institutionswereusuallyinruralorremotesettings. ChoicesBandDwerenotmajor
2d 2d
2problemsassociatedwithlargestateinstructions.
d ni
12. Asignificantchangeinthetreatmentofpeoplewithmentalillnessoccurredinthe1950swhen ni ni
A) communitysupport serviceswereestablished. 2d
B) legislationdramaticallychanged civilcommitmentprocedures. ni ni 2d
C) thePatient's BillofRightswasenacted.
ni 2d ni
D) psychotropicdrugsbecameavailableforuse. ni ni
Ans: D
2d 2d
Feedback:
Thedevelopmentofpsychotropicdrugs,ordrugsusedtotreatmentalillness,beganin the ni ni
2 1950s.AnswerchoicesA,B,andCdidnotoccurinthe1950s.
d 2d 2d ni 2d
13. Beforethe periodoftheenlightenment,treatmentofthementallyillincluded
ni 2d ni
lOMoAR
2dc 2dPSD|
2 d
11700591
TEST BANK FOR 2 d 2 d
Psychiatric–MentalHealthNursing9thEditionbySheilaL.
Videbeck
2d
AllChapters(1-24)
TableOfContents
UNIT 1 Current Theories and Practice
2 d 2 d 2 d 2 d 2 d
Chapter 1. Foundations of Psychiatric–Mental Health Nursing
2 d 2 d 2 d 2 d 2 d 2 d
2Chapter 2. Neurobiologic Theories and Psychopharmacology
d 2 d 2 d 2 d 2 d 2 d
Chapter 3. Psychosocial Theories and Therapy
2d 2 d 2 d 2 d 2 d 2 d
Chapter 4. Treatment Settings and Therapeutic
2 d 2 d 2 d 2 d 2 d
ProgramsUNIT 2 Building the Nurse–Client
2d 2d 2 d 2 d 2 d 2 d
Relationship Chapter 5. Therapeutic Relationships
2d 2 d 2 d 2 d
Chapter 6. Therapeutic Communication
2d 2 d 2 d 2 d
Chapter 7. Client’s Response to 2 d 2 d 2 d 2 d
2Illness Chapter8.Assessment
d 2d 2d
UNIT 3 Current Social and Emotional Concerns
2 d 2 d 2 d 2 d 2 d 2 d
Chapter9.LegalandEthicalIssues 2d 2d 2d
Chapter10.GriefandLoss
2d 2d
Chapter11.Anger,Hostility,and Aggression 2d 2d 2d ni
Chapter 12. Abuse and Violence
2d 2 d 2 d 2 d 2 d
UNIT 4 Nursing Practice for Psychiatric
2 d 2 d 2 d 2 d 2 d
2Disorders Chapter 13. Trauma and Stressor-
d 2 d 2 d 2 d 2 d 2 d
Related Disorders Chapter 14. Anxiety and
2 d 2d 2 d 2 d 2 d
2 Anxiety Disorders
d 2 d
Chapter 15. Obsessive–Compulsive and Related Disorders
2 d 2 d 2 d 2 d 2 d
Chapter16.Schizophrenia
2d 2d
Chapter17.Mood Disordersand Suicide ni 2d
Chapter 18. Personality Disorders
2d 2d 2d 2d
Chapter19.Addiction
2d 2d
Chapter 20. Eating Disorders 2d 2d 2d
Chapter21.SomaticSymptom Illnesses
2d 2d ni
Chapter22.NeurodevelopmentalDisorders 2d 2d
Chapter23.DisruptiveBehaviorDisorders
2d 2d
Chapter 24. Cognitive Disorders
2d 2 d 2 d 2 d
Chapter1
1. Thenurseisassessingthefactorscontributingtothewell-beingofanewlyadmittedclient. 2 d
Whichofthefollowingwouldthenurseidentifyashaving apositiveimpactonthe
2 d ni ni ni ni 2d
individual'smentalhealth?
2d
A) Notneedingothersforcompanionship ni
B) Theabilitytoeffectivelymanagestress ni
C) Afamilyhistoryofmentalillness
D) Strivingfortotalself- ni
reliance Ans: B 2d 2d
Feedback:
Individualfactorsinfluencingmentalhealthincludebiologicmakeup,autonomy, 2d
independence,self-esteem,capacityforgrowth,vitality,abilitytofindmeaninginlife,
2d 2d 2d
emotionalresilienceorhardiness,senseofbelonging,realityorientation,and copingorstress
2d 2d 2d ni
managementabilities.Interpersonalfactors such as intimacyandabalanceofseparatenessand
2d 2d ni ni ni ni ni
connectednessarebothneededforgoodmentalhealth,andthereforea
2d ni ni ni
, 2d ni
lOMoAR
2dc 2dPSD|
2 d
11700591
healthypersonwouldneedothersforcompanionship.Afamilyhistoryofmentalillnesscould
ni ni ni
2 relatetothebiologicmakeupofanindividual,whichmayhaveanegativeimpactonan
d 2d
2individual'smentalhealth,aswellasanegativeimpactonanindividual'sinterpersonaland
d 2 d
2 socialñculturalfactorsofhealth.Totalself-relianceisnotpossible,andapositive
d 2d
social/culturalfactorisaccesstoadequateresources.
2d
2. Whichofthefollowingstatementsabout mentalillnessaretrue? Select allthat apply. ni ni 2d 2d ni ni
A) Mentalillnesscancausesignificantdistress,impairedfunctioning,orboth. ni
B) Mentalillnessisonlyduetosocial/cultural factors. 2d
C) Social/culturalfactorsthatrelatetomentalillnessincludeexcessivedependencyon ni
orwithdrawalfromrelationships.
2 d ni
D) Individualssufferingfrommentalillnessareusuallyabletocopeeffectivelywith daily ni ni
life. 2 d
E) Individualssufferingfrommentalillnessmayexperiencedissatisfactionwith ni ni ni
relationshipsandself.
2d
Ans: A,D,E 2d 2d
Feedback:
Mentalillnesscancausesignificantdistress, impairedfunctioning,orboth.Mentalillness 2d 2d
mayberelatedtoindividual,interpersonal,orsocial/culturalfactors.Excessivedependency
2d 2d 2d 2d
onorwithdrawalfromrelationshipsareinterpersonalfactorsthatrelatetomentalillness.
2d
Individualssuffering frommentalillnesscanfeeloverwhelmed withdailylife.Individuals ni ni 2d
sufferingfrommentalillnessmayexperiencedissatisfactionwith relationshipsand self.
2d ni ni ni ni ni
3. Whichofthefollowingaretrueregardingmentalhealthand mentalillness?
ni 2d ni ni 2d ni
A) Behaviorthatmaybeviewedasacceptableinonecultureisalwaysunacceptablein ni ni ni
othercultures.
2 d
B) Itis easytodetermineifapersonismentallyhealthyormentallyill.
ni 2 d ni
C) Inmost cases,mentalhealthisastateofemotional,psychological,and social
ni 2d 2d 2d ni
wellnessevidencedbysatisfyinginterpersonalrelationships,effectivebehavior
2d ni ni ni ni
and coping,positiveself-concept,andemotionalstability.
2d ni 2d 2d
D) Personswhoengageinfantasiesarementallyill. ni
Ans: C
2d 2d
Feedback:
Whatonesocietymayviewasacceptableandappropriatebehavior,anothersocietymaysee
2 thatasmaladaptive,andinappropriate.Mentalhealth andmentalillnessaredifficulttodefine
d 2d 2d ni
precisely.In mostcases,mentalhealthisastateofemotional,psychological,andsocial
2d 2d ni 2d 2d
wellnessevidencedbysatisfyinginterpersonalrelationships,effectivebehaviorandcoping,
2d ni 2 d
2positiveself-concept,andemotionalstability.Personswhoengagein fantasiesmaybe
d 2d 2d ni
mentallyhealthy,buttheinabilitytodistinguish realityfromfantasyisanindividualfactor
2d 2d ni
thatmaycontributetomentalillness.
2d
4. Aclientgrievingtherecentlossofherhusbandasksifsheisbecomingmentallyill ni 2 d
2becausesheissosad.Thenurse'sbestresponsewouldbe,
d 2d
A) ìYoumayhaveatemporarymentalillnessbecauseyouareexperiencingsomuchpain.î ni ni
B) ìYouarenotmentallyill.Thisisanexpectedreactiontothelossyou have ni 2d ni
experienced.î 2d
C) ìWereyougenerallydissatisfiedwithyourrelationshipbeforeyourhusband's ni
death?î 2d
D) ìTrynottoworryabout that right now.Youneverknowwhat thefuturebrings.î Ans: B
ni ni ni ni ni 2 d 2 d
Feedback:
Mentalillnessincludesgeneraldissatisfactionwith self,ineffectiverelationships,ineffective ni 2d 2d
coping,andlackofpersonalgrowth.Additionallythebehaviormust notbe
2d ni 2d ni ni
, 2d ni
lOMoAR
2dc 2dPSD|
2 d
11700591
culturallyexpected. Acutegriefreactionsareexpectedand thereforenotconsideredmental 2d ni
illness.Falsereassurance oroveranalysisdoesnotaccuratelyaddresstheclient's concerns.
2d ni ni ni
5. Thenurseconsultsthe DSMforwhichofthefollowingpurposes? 2d
A) Todeviseaplanofcareforanewlyadmittedclient ni
B) Topredicttheclient'sprognosisof treatmentoutcomes ni ni
C) Todocumenttheappropriatediagnosticcodeintheclient'smedicalrecord
D) Toserveasaguideforclientassessment ni
Ans: D
2d 2d
Feedback:
The DSMprovidesstandardnomenclature,presentsdefiningcharacteristics, andidentifies
2d 2d
underlyingcausesofmentaldisorders. Itdoesnotprovidecareplansorprognosticoutcomes
2d 2d
oftreatment.DiagnosisofmentalillnessisnotwithinthegeneralistRN'sscopeofpractice,so
2d ni
documentingthecodein themedicalrecordwouldbeinappropriate.
2d ni ni ni ni ni 2d
6. Whichwouldbeareason fora studentnurseto usetheDSM? ni 2d ni 2d 2d
A) Identifyingthemedicaldiagnosis ni
B) Treatclients ni
C) Evaluatetreatments
D) Understandthereasonfortheadmissionandthenatureofpsychiatricillnesses.Ans: ni ni 2d
2 D d
Feedback:
Althoughstudentnursesdonot usetheDSMtodiagnoseclients,theywillfind ita helpful ni 2d 2d 2d ni ni
resourcetounderstandthereasonfortheadmissionandtobeginbuildingknowledgeabout
2d 2 d
2 thenatureofpsychiatricillnesses.Identifyingthemedicaldiagnosis,treating,and evaluating
d ni ni 2d ni ni 2d 2d ni
treatmentsarenotapartofthenursingprocess.
2d
7. Thelegislationenactedin1963waslargelyresponsibleforwhichofthefollowingshiftsin care ni ni ni ni 2 d
2forthementallyill?
d
A) Thewidespreaduseofcommunity-basedservices
ni 2d
B) Theadvancementinpharmacotherapies
ni 2d
C) Increasedaccesstohospitalization ni ni
D) Improvedrightsforclientsinlong-terminstitutionalcare ni ni
Ans: A
2d 2d
Feedback:
TheCommunityMentalHealthCentersConstructionActof1963accomplishedtherelease
ni 2d ni ni ni 2d
ofindividualsfromlong-termstaysinstateinstitutions,thedecreasein admissionsto
2d 2d ni
hospitals,andthedevelopmentofcommunity-basedservicesasanalternativetohospital
2d 2d
care.
2d
8. Whichoneofthefollowingisaresult offederallegislation? ni ni 2d
A) Makingit easiertocommitpeopleformentalhealth treatmentagainsttheirwill.
ni ni 2d ni 2d
B) Makingitmoredifficulttocommit peopleformentalhealthtreatment againsttheir
ni ni ni ni ni ni 2d
will. 2d
C) Statementalinstitutionsbeingtheprimarysource ofcareformentallyillpersons. ni 2d
D) Improvedcareformentallyillpersons. ni
Ans: B
2d 2d
Feedback:
, lOMoAR 2d ni
2dc 2dPSD|
2 d
11700591
Commitmentlawschangedintheearly1970s,making itmoredifficulttocommitpeoplefor ni 2 d
2 mentalhealthtreatment against theirwill.Deinstitutionalizationaccomplished therelease
d ni ni 2d ni
ofindividualsfromlong-termstaysinstateinstitutions.Deinstitutionalizationalsohad
2d 2d
negativeeffectsinthatsomementallyillpersonsaresubjectedtotherevolvingdooreffect,
2d ni ni 2 d
2 whichmaylimitcareformentallyillpersons.
d ni
9. Thegoalofthe1963 CommunityMentalHealth CentersActwasto 2d 2d
A) ensurepatients'rightsfor thementallyill. 2d
B) deinstitutionalizestatehospitals.
C) providefundstobuild hospitalswithpsychiatricunits.
ni ni
D) treatpeoplewithmentalillnessin ahumanefashion.
ni ni ni ni ni
Ans: B
2d 2d
Feedback:
The1963CommunityMentalHealth CentersActintimatedthemovementtoward treating
2d 2d 2d ni ni
thosewithmentalillnessinalessrestrictiveenvironment.Thislegislationresultedin the
2d 2d ni
shiftofclientswithmentalillnessfromlargestateinstitutionstocarebasedinthe
2d 2 d
2 community.AnswerchoicesA,C, and Dwerenotpurposesofthe1963CommunityMental
d ni ni 2d 2d
HealthCentersAct.
2d 2d
10. Thecreationofasylumsduringthe1800swas meantto 2d ni ni 2d
A) improvetreatment ofmentaldisorders. 2d
B) providefoodandshelterforthementallyill.
C) punishpeoplewithmentalillnesswhowerebelievedtobepossessed. ni
D) removedangerouspeoplewithmentalillnessfromthecommunity. ni ni
Ans: B
2d 2d
Feedback:
Theasylumwasmeanttobeasafehavenwithfood,shelter,andhumanetreatmentforthe ni ni ni
2 mentallyill.Asylumswerenotusedtoimprovetreatmentofmentaldisordersortopunish
d ni 2 d
2 mentallyillpeoplewhowerebelievedtobepossessed.Theasylumwasnotcreatedto
d 2d
2removethedangerouslymentallyillfromthecommunity.
d
11. Themajorproblemswithlargestateinstitutionsare: Select all thatapply. 2d ni 2d
A) attendantswereaccusedofabusingthe residents. ni ni 2d
B) stigmaassociatedwithresidenceinaninsaneasylum. ni
C) clientsweregeographicallyisolated fromfamilyand community.
ni 2d 2d ni
D) increasingfinancialcoststoindividualresidents. ni ni ni
Ans: A,C
2d 2d
Feedback:
Clientswereoftenfarremovedfromthelocalcommunity,family,andfriendsbecausestate ni ni 2d ni 2d
institutionswereusuallyinruralorremotesettings. ChoicesBandDwerenotmajor
2d 2d
2problemsassociatedwithlargestateinstructions.
d ni
12. Asignificantchangeinthetreatmentofpeoplewithmentalillnessoccurredinthe1950swhen ni ni
A) communitysupport serviceswereestablished. 2d
B) legislationdramaticallychanged civilcommitmentprocedures. ni ni 2d
C) thePatient's BillofRightswasenacted.
ni 2d ni
D) psychotropicdrugsbecameavailableforuse. ni ni
Ans: D
2d 2d
Feedback:
Thedevelopmentofpsychotropicdrugs,ordrugsusedtotreatmentalillness,beganin the ni ni
2 1950s.AnswerchoicesA,B,andCdidnotoccurinthe1950s.
d 2d 2d ni 2d
13. Beforethe periodoftheenlightenment,treatmentofthementallyillincluded
ni 2d ni
