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kk Care 8th Edition By Michelle Morrison Latest
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kk Update.
|complete studyGuide |Grade A+.
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, i.l i.l i.l i.l i.l i.l i.l
Chapter01:TheHistoryofMentalCare
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MULTIPLECHOICE k
1. The belief ofthe ancientGreek philosopherPlatothat the rationalsoulcontrolled the
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irrational soul could be compared with thebelief ofthe more recent psychological
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theorist:
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a. Freud
b. Pinel
c. Fisher
d. Rush
ANS:A k
Sigmund Freud believed that mental illness was, in part, caused by forces both within and
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outside the personality. Philippe Pinel advocated acceptance of mentally ill individuals as
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human beings in need of medical assistance. Alice Fisher was a Florence Nightingale nurse who
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cared for the mentally ill, and Dr. Benjamin Rush was the author of the book Diseases ofthe
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Mind.
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PTS: 1
DIF: Cognitive Level: Comprehension REF:p. kk kk k
4OBJ:
kk 2 TOP: Early Years of Mental Health kk kk kk kk kk
KEY: NursingProcessStep:Assessment MSC:ClientNeeds:Psychosocial Integrity k k kk kk k k k kk
2. During the mid-1500s, behaviors associated with mental illness were more
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accurately recorded byprofessionals. This practice led to
kk kk kk kk kk kk kk fordifferent k
abnormalbehaviors.
kk
a. Classifications
b. Diagnosing
c. Treatment
d. Education
ANS:A k
Classification of abnormal behaviors did not begin until this time, after the practice of kk kk kk kk kk kk kk kk kk kk kk kk kk
moreaccurate recordingofbehaviors wasbegun.Diagnoses,treatment guidelines,and any
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education regarding mental health disorders were not available during this period.
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PTS: 1
DIF: Cognitive Level: Knowledge REF:p. kk kk k
5OBJ:
kk 3 TOP: Mental Illness During the Renaissance kk kk kk kk kk
KEY: NursingProcessStep:Assessment MSC:ClientNeeds:Psychosocial Integrity k k kk kk k k k kk
3. Duringthelatterpart oftheeighteenth century,psychiatrybecameaseparatebranch of
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medicine,and inhumane treatment was greatlydiminished bythe Frenchhospital
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director:
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a. Dix
b. Beers
, c. Pinel
d. Carter
ANS:C k
PhilippePinel advocated acceptance ofthe mentallyill, as well as propertreatment. DorotheaDix
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crusaded forconstructionofmentalhealthhospitals.Clifford Beers wrotethe book A Mind That
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Found Itself. President Jimmy Carter established the President’s Commission on Mental Health
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in 1978.
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PTS: 1 DIF: Cognitive Level: Knowledge REF:p. kk kk k
5OBJ: 4kk TOP: Mental Illness in the Eighteenth Century kk kk kk kk kk kk
KEY: NursingProcessStep: Assessment MSC: ClientNeeds:Psychosocial Integrity k k kk k k kk k kk kk
4. In 1841, kk surveyed asylums, jails, and almshouses throughout the United kk kk kk kk kk kk kk
States,Canada,andScotlandandiscredited withbringingaboutpublicawareness and
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reformfor the care of the mentally ill.
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a. SigmundFreud kk
b. JohnCade k
c. FlorenceNightingale kk
d. DorotheaDix k
ANS:D kk
Dorothea Dix spent 20 years surveying facilities that housed mentallyill individuals and
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iscreditedwithmajor changesinthe careofthementallyill.SigmundFreudintroduced the
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concept of psychoanalysis, John Cade discovered lithium carbonate for the treatment of
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bipolar disorder, and Florence Nightingale trained nurses in England in the 1800s.
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PTS: 1 DIF: Cognitive Level: Knowledge REF:p. kk kk k
6OBJ: 4kk TOP: Mental Illness in the Nineteenth Century kk kk kk kk kk kk
KEY: NursingProcessStep: Assessment MSC: ClientNeeds:Psychosocial Integrity k k kk k k kk k k kk
5. AsatdirectresultofClifford N
k BeeR
r s’ Iwor Gk anBd.btoCotkt,MAMindThatFoundItself,ttheCommitteefor
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MentalHygienewas formedin1909 with afocusonprevention ofmentalillness and:
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a. Earlydetectionofsymptoms ofmental illness k k k k k kk
b. Educationof caregivers kk
c. Current treatment options kk kk
d. Removingthestigmaattached tomental illness k k k k k kk
ANS:D kk
Clifford Beers’ book reflected on his attempt at suicide followed by the deplorable care he
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received for the next 3 years in mental hospitals. Beers’ work and book raised the
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consciousness of people throughout the country regarding prevention and removal of the
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stigma of having a mental illness. Earlydetection of symptoms, education of caregivers,
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andcurrent treatment options regarding mental illness were not thefocus of hisbook, nor were
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they a priority for the Committee for Mental Hygiene.
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PTS: 1 DIF: Cognitive Level: Knowledge REF:p. kk kk k
6OBJ: 4kk TOP: Mental Illness in the Twentieth Century kk kk kk kk kk kk
KEY: NursingProcessStep: Assessment MSC: ClientNeeds:Psychosocial Integrity k k kk k k kk k k kk
6. Duringthe1930s,whatcommontreatment forschizophreniacausedclients tofallinto a
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comathat could last as long as 50 hours?
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a. Electroconvulsive therapy k k
b. Insulintherapy kk
c. Humoraltherapy k
, d. Amphetaminetherapy
ANS:B kk
Insulin therapy was believed to successfully treat schizophrenia in the early 1900s.
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Amphetamineswereusedtotreatdepression,and electroconvulsivetherapywasused
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forseveredepression. Humoral therapy, which originated in ancient Greece and Rome, was
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abelief that mental illness resulted from an imbalance of the humors of air, fire, water,
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andearth.
kk
PTS: 1 DIF: Cognitive Level: Knowledge REF:p. kk kk k
8OBJ:kk 5 TOP: InfluencesofWar onMental HealthTherapies k k k k kk k kk
KEY: NursingProcess Step: Assessment MSC: ClientNeeds:Psychosocial Integrity k k kk k k kk k k kk
7. Inthe1930s,whatmentalhealthdisorderwaselectroconvulsivetherapy(ECT)
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kk most oftenused to treat? kk kk kk
a. Schizophrenia
b. Bipolardisorder kk
c. Severedepression
d. Violentbehavior kk
ANS: C kk
ECT was found to be an effective treatment for severe depression in the 1930s. During this
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period, schizophrenia was treated with insulin therapy, and violent behavior was treated with
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alobotomy. In 1949, lithium carbonate was discovered as a treatment for bipolar disorder.
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PTS: 1 DIF: Cognitive Level: Knowledge REF:p. kk kk k
6OBJ:kk 5 TOP: Influences ofWaronMental HealthTherapies k k kk k k k kk
KEY: NursingtProcesstStep:AN
kk s s e sR
smeInt GMSBC:.CClietnMt Needs:PsychosocialIntegrity k k k k k k k k
k
k k k k k k
USNT O
8. Intheearlytwentieth century,afrontallobotomywasacommon treatment forviolent
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behaviors.Which description ofthis procedure is accurate?
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a. Aprocedurethatdelivers anelectricalstimulustothefrontallobesofthebrain k kk k k k k k k
b. Asurgicalprocedurethat drills holesinthefrontoftheskulltodrainfluid
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c. Atsurgicalprocedurethat severs thefrontallobesofthebrain fromthethalamus k k k k kk k k k kk k k
d. Asurgicalprocedurethat insertsimplants intothefrontallobes ofthebrain k k kk k k k kk k
ANS: C kk
Afrontallobotomyisa surgicalprocedureinwhichthefrontal lobesofthebrain are severedfrom
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the thalamus.
kk kk
PTS: 1 DIF: Cognitive Level: Knowledge REF:p. kk kk k
6OBJ:kk 5 TOP: InfluencesofWaronMental HealthTherapies k k k k kk k kk
KEY: NursingProcess Step: Assessment MSC: ClientNeeds:Psychosocial Integrity k k kk k k kk k k kk
9. Whichclassofdrugswas introducedinthe1930sforthetreatment ofdepression?
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a. SSRIs
b. Tricyclicantidepressants
c. MAOIs
d. Amphetamines
ANS:D kk