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Table of Contents
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Chapter 01 The History of Mental Health Care
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Chapter 02 Current Mental Health Care Systems
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Chapter 03 Ethical and Legal Issues
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Chapter 04 Sociocultural Issues
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Chapter 05 Theories and Therapies
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Chapter 06 Complementary and Alternative Therapies
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Chapter 07 Psychotherapeutic Medication Therapy
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Chapter 08 Principles and Skills of Mental Health Care
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Chapter 09 Mental Health Assessment Skills
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Chapter 10 Therapeutic Communication
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Chapter 11 The Therapeutic Relationship
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Chapter 12 The Therapeutic Environment
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Chapter 13 Challenges of Childhood
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Chapter 14 Challenges of Adolescence
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Chapter 15 Challenges of Adulthood
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Chapter 16 Challenges of Late Adulthood
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Chapter 17 Cognitive Impairment, Alzheimer's Disease, and Dementia
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Chapter 18 Managing Anxiety
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Chapter 19 Illness and Hospitalization
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Chapter 20 Loss and Grief
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Chapter 21 Depression and Other Mood Disorders
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Chapter 22 Physical Challenges, Psychological Sources
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Chapter 23 Eating and Sleeping Disorders
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Chapter 24 Dissociative Disorders
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Chapter 25 Anger and Aggression
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Chapter 26 Outward-Focused Emotions-Violence
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Chapter 27 Inward-Focused Emotions-Suicide
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Chapter 28 Substance-Related Disorders
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Chapter 29 Sexuality and Sexual Disorders
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Chapter 30 Personality Disorders
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Chapter 31 Brain Function, Schizophrenia, and Other Psychoses
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Chapter 32 Chronic Mental Health Disorders
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Chapter 33 Challenges for the Future
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,Chapter 1: The History of Mental Health Care
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Morrison-Valfre’s Foundations of Mental Health Care in Canada, First Edition jn jn jn jn jn jn jn jn jn




MULTIPLE CHOICE jn




1. The belief of the ancient Greek philosopher Plato that the rational soul controlled the irrational
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soul could be compared with the belief of which more recent psychological theorist?
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a. Freud
b. Pinel
c. Fisher
d. Rush
ANS: A j n



Sigmund Freud believed that mental illness was, in part, caused by forces both within and outsi
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de the personality. Philippe Pinel advocated acceptance of mentally ill individuals as human be
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ings in need of medical assistance. Alice Fisher was a nurse who trained at the Florence Nightin
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gale Training School and cared for the mentally ill. Dr. Benjamin Rush was the author of the bo
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ok Diseases of the Mind.
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PTS: j n j n 1 DIF: Cognitive Level: Comprehension jn jn REF: Early Years j n j n jn



OBJ: j n j n 1 KEY: Nursing Process Step: Assessment
j n jn jn jn MSC: Foundations of Practice j n jn jn




2. During the mid- jn jn



1500s, behaviours associated with mental illness began to be more accurately recorded by profe
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ssionals. This practice led to jn jn jn jn jn



for different abnormal behav jn jn jn



iours.
a. Classifications
b. Diagnosing
c. Treatment
d. Education
ANS: A j n



Classification of abnormal behaviours did not begin until this time, after the practice of more accur
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ately recording behaviours had started. Diagnoses, treatment guidelines, and education regarding
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mental health disorders were not available during this period.
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PTS: j n j n 1 DIF: Cognitive Level: Knowledge jn jn REF: The Renaissance j n j n jn



OBJ: j n j n 1 KEY: Nursing Process Step: Assessment
j n jn jn jn MSC: Foundations of Practice j n jn jn




3. During the latter part of the eighteenth century, psychiatry became a separate branch of medicin
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e, and inhumane treatment was greatly diminished by which French hospital director?
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a. Dix
b. Beers
c. Pinel
d. Carter
ANS: C j n



Philippe Pinel advocated acceptance of the mentally ill as well as proper treatment. Dorothea Di
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x crusaded for construction of mental health hospitals. Clifford Beers wrote the book A Mind T
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hat Found Itself. President Jimmy Carter established the President’s Commission on Mental H
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ealth in 1978. jn jn




1|Page jn jn jn jn jn



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, PTS: j n j n 1 DIF: Cognitive Level: Knowledge jn jn REF: Eighteenth Century
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OBJ: j n j n 4 KEY: Nursing Process Step: Assessment
j n jn jn jn MSC: Foundations of Practice
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4. In 1841,
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surveyed asylums, jails, and almshouses throughout the United Sta jn jn jn jn jn jn jn jn



tes, Canada, and Scotland and is credited with bringing about public awareness and reform for th
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e care of the mentally ill.
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a. Sigmund Freud jn



b. John Cade jn



c. Florence Nightingale jn



d. Dorothea Dix jn




ANS: D j n



Dorothea Dix spent 20 years surveying facilities that housed mentally ill individuals and is credi
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ted with ushering in major changes in the care of the mentally ill. Sigmund Freud introduced th
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e concept of psychoanalysis, John Cade discovered lithium carbonate for the treatment of bipol
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ar disorder, and Florence Nightingale trained nurses in England in the 1800s.
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PTS: j n j n 1 DIF: Cognitive Level: Knowledge jn jn REF: Nineteenth Century
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OBJ: j n j n 4 KEY: Nursing Process Step: Assessment
j n jn jn jn MSC: Foundations of Practice
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5. As a direct result of Clifford Beers’ work and his book, A Mind That Found Itself, the Committ
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ee for Mental Hygiene was formed in 1909 with a focus on the prevention of mental illness and
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.
a. Early detection of symptoms of mental illness jn jn jn jn jn jn



b. Education of care providers jn jn jn



c. Current treatment options jn jn



d. Removing the stigma attached to mental illness jn jn jn jn jn jn




ANS: D j n



In his book, Clifford Beers reflected on his suicide attempt followed by the deplorable care he re
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ceived for the next 3 years in mental hospitals. His work and book raised the consciousness of p
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eople throughout the country regarding the prevention and removal of the stigma of having a m
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ental illness. Early detection of symptoms, education of care providers, and current treatment op
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tions regarding mental illness were not the focus of his book, nor were they a priority for the Co
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mmittee for Mental Hygiene. jn jn jn




PTS: j n j n 1 DIF: Cognitive Level: Knowledge jn jn REF: Twentieth Century
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OBJ: j n j n 4 KEY: Nursing Process Step: Assessment
j n jn jn jn MSC: Foundations of Practice
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6. During the 1930s, what common treatment for schizophrenia caused patients to fall into a c
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oma that could last as long as 50 hours?
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a. Electroconvulsive therapy jn



b. Insulin therapy jn



c. Humoral therapy jn



d. Amphetamine therapy jn




ANS: B j n




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