Test Bank For Psychiatric Mental Health Nursing 9th Edition
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Chapter 1 TL
1. The nurse is assessing the factors contributing to the
TL TL TL TL TL TL TL TL
well-being of a newly admitted client. Which of the
TL TL TL TL TL TL TL TL TL
following would the nurse identify as having a positive
TL TL TL TL TL TL TL TL TL
impact onthe individual's mental health?
TL TL TL TL TL
A) Not needing others for companionship TL TL TL TL
B) The ability to effectively manage stress
TL TL TL TL TL
C) A family history of mental illness
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D) Striving for total self-reliance TL TL TL
Ans: B
TL T L
Feedback:
Individual factors influencing mental health include
TL TL TL TL TL
biologic makeup, autonomy, independence, self-esteem,
TL TL TL TL TL
capacity for growth, vitality, ability to find meaning in
TL TL TL TL TL TL TL TL TL
life, emotional resilience or hardiness, sense of
TL TL TL TL TL TL TL
belonging, reality orientation, and coping or stress
TL TL TL TL TL TL TL
management abilities. Interpersonal factors such as
TL TL TL TL TL TL
intimacy and a balance of separateness and
TL TL TL TL TL TL TL
connectedness are both needed
TL TL TL TL
for good mental health, and therefore ahealthy person would need others for
TL TL TL TL TL TL TL TL TL TL TL
companionship. A family history of mental illnesscould relate to the biologic
TL TL TL TL TL TL TL TL TL TL TL
makeup of an individual, which may have a negative impacton an individual's
TL TL TL TL TL TL TL TL TL TL TL TL
mental health, as well as a negative impact on an individual's interpersonal and
TL TL TL TL TL TL TL TL TL TL TL TL TL
socialñcultural factors of health. Total self-reliance is not possible, and a positive
TL TL TL TL TL TL TL TL TL TL TL TL
social/cultural factor is access to adequate resources.
TL TL TL TL TL TL TL
2. Which of the following statements about mental illness are true? Select all that apply.
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A) Mental illness can cause significant distress, impaired functioning, or both.
TL TL TL TL TL TL TL TL TL
B) Mental illness is only due to social/cultural factors.TL TL TL TL TL TL TL
C) Social/cultural factors that relate to mental illness include excessive TL TL TL TL TL TL TL TL
dependency on or withdrawal from relationships.
TL TL TL TL TL TL
D) Individuals suffering from mental illness are usually able to cope effectively
TL TL TL TL TL TL TL TL TL TL
with daily life.
TL TL TL
E) Individuals suffering from mental illness may experience dissatisfaction TL TL TL TL TL TL TL
with relationships and self.
TL TL TL TL
Ans: A, D, E TL TL TL
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
TL TL TL TL TL TL TL TL TL TL
illness may be related to individual, interpersonal, or social/cultural factors.
TL TL TL TL TL TL TL TL TL TL
Excessive dependency on or withdrawal from relationships are interpersonal factors
TL TL TL TL TL TL TL TL TL TL
that relate to mental illness. Individuals suffering from mental illness can feel
TL TL TL TL TL TL TL TL TL TL TL TL
overwhelmed with daily life. Individuals suffering from mental illness may
TL TL TL TL TL TL TL TL TL TL
experience dissatisfaction with relationships and self.
TL TL TL TL TL TL
,3. Which of the following are true regarding mental health and mental illness?
TL TL TL TL TL TL TL TL TL TL TL
A) Behavior that may be viewed as acceptable in one culture is always
TL TL TL TL TL TL TL TL TL TL TL
unacceptable in other cultures.
TL TL TL TL
B) It is easy to determine if a person is mentally healthy or mentally ill.
TL TL TL TL TL TL TL TL TL TL TL TL TL
C) In most cases, mental health is a state of emotional, psychological, and
TL TL TL TL TL TL TL TL TL TL TL
social wellness evidenced by satisfying interpersonal relationships, effective
TL TL TL TL TL TL TL TL
behavior and coping, positive self-concept, and emotional stability.
TL TL TL TL TL TL TL TL
D) Persons who engage in fantasies are mentally TL TL TL TL TL TL
ill. Ans: C
TL TL T L
Feedback:
What one society may view as acceptable and appropriate behavior, another society
TL TL TL TL TL TL TL TL TL TL TL
may see that as maladaptive, and inappropriate. Mental health and mental illness are
TL TL TL TL TL TL TL TL TL TL TL TL TL
difficult to define precisely. In most cases, mental health is a state of emotional,
TL TL TL TL TL TL TL TL TL TL TL TL TL TL
psychological, and social wellness evidenced by satisfying interpersonal
TL TL TL TL TL TL TL TL
relationships, effective behavior and coping, positive self-concept, and emotional
TL TL TL TL TL TL TL TL TL
stability. Persons who engage in fantasies may be mentally healthy, but the inability
TL TL TL TL TL TL TL TL TL TL TL TL TL
to distinguish reality from fantasy is an individual factor that may contribute to
TL TL TL TL TL TL TL TL TL TL TL TL TL
mental illness.
TL TL
4. A client grieving the recent loss of her husband asks if she is becoming mentally
TL TL TL TL TL TL TL TL TL TL TL TL TL TL
ill because she is so sad. The nurse's best response would be,
TL TL TL TL TL TL TL TL TL TL TL TL
A) ìYou may have a temporary mental illness because you are experiencing so
TL TL TL TL TL TL TL TL TL TL TL
much pain.î TL TL
B) ìYou are not mentally ill. This is an expected reaction to the loss you
TL TL TL TL TL TL TL TL TL TL TL TL TL
have experienced.î
TL TL
C) ìWere you generally dissatisfied with your relationship before your
TL TL TL TL TL TL TL TL
husband's death?î
TL TL
D) ìTry not to worry about that right now. You never know what the future
TL TL TL TL TL TL TL TL TL TL TL TL TL
brings.î Ans: B
TL TL T L
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
TL TL TL TL TL TL TL TL
ineffective coping, and lack of personal growth. Additionally the behavior must not
TL TL TL TL TL TL TL TL TL TL TL TL
be culturally expected. Acute grief reactions are expected and therefore not
TL TL TL TL TL TL TL TL TL TL TL
considered mental illness. False reassurance or overanalysis does not accurately
TL TL TL TL TL TL TL TL TL TL
address the client's concerns.
TL TL TL TL
,5. The nurse consults the DSM for which of the following purposes?
TL TL TL TL TL TL TL TL TL TL T L
A) To devise a plan of care for a newly admitted client
TL TL TL TL TL TL TL TL TL TL
B) To predict the client's prognosis of treatment outcomes
TL TL TL TL TL TL TL
C) To document the appropriate diagnostic code in the client's medical record
TL TL TL TL TL TL TL TL TL TL
D) To serve as a guide for client assessment
TL TL TL TL TL TL TL TL T L
Ans: D TL
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
TL TL TL TL TL TL TL TL
identifies underlying causes of mental disorders. It does not provide care plans or
TL TL TL TL TL TL TL TL TL TL TL TL TL
prognostic outcomes of treatment. Diagnosis of mental illness is not within the
TL TL TL TL TL TL TL TL TL TL TL TL
generalist RN's scope of practice, so documenting the code in the medical record
TL TL TL TL TL TL TL TL TL TL TL TL TL
would be inappropriate.
TL TL TL
6. Which would be a reason for a student nurse to use the DSM?
TL TL TL TL TL TL TL TL TL TL TL TL T L
A) Identifying the medical diagnosis TL TL TL
B) Treat clients TL
C) Evaluate treatments TL
D) Understand the reason for the admission and the nature of psychiatric illnesses.
TL TL TL TL TL TL TL TL TL TL TL TL T L
Ans: D TL
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
TL TL TL TL TL TL TL TL TL TL TL TL TL TL TL
helpful resource to understand the reason for the admission and to begin building
TL TL TL TL TL TL TL TL TL TL TL TL TL
knowledge about the nature of psychiatric illnesses. Identifying the medical diagnosis,
TL TL TL TL TL TL TL TL TL TL TL
treating, and evaluating treatments are not a part of the nursing process.
TL TL TL TL TL TL TL TL TL TL TL TL
7. The legislation enacted in 1963 was largely responsible for which of the following
TL TL TL TL TL TL TL TL TL TL TL TL
shifts in care for the mentally ill?
TL TL TL TL TL TL TL
A) The widespread use of community-based services
TL TL TL TL TL
B) The advancement in pharmacotherapies TL TL TL
C) Increased access to hospitalization TL TL TL
D) Improved rights for clients in long-term institutional TL TL TL TL TL TL
care Ans: A
TL TL T L
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the
TL TL TL TL TL TL TL TL TL TL
release of individuals from long-term stays in state institutions, the decrease in
TL TL TL TL TL TL TL TL TL TL TL TL
admissions to hospitals, and the development of community-based services as an
TL TL TL TL TL TL TL TL TL TL TL
alternative to hospital care.
TL TL TL TL
, 8. Which one of the following is a result of federal legislation?
TL TL TL TL TL TL TL TL TL TL
A) Making it easier to commit people for mental health treatment against their will.
TL TL TL TL TL TL TL TL TL TL TL TL
B) Making it more difficult to commit people for mental health treatment
TL TL TL TL TL TL TL TL TL TL
against their will.
TL TL TL
C) State mental institutions being the primary source of care for mentally ill persons.
TL TL TL TL TL TL TL TL TL TL TL TL
D) Improved care for mentally ill TL TL TL TL
persons. Ans: B
TL TL T L
Feedback:
Commitment laws changed in the early 1970s, making it more difficult to commit
TL TL TL TL TL TL TL TL TL TL TL TL
people for mental health treatment against their will. Deinstitutionalization
TL TL TL TL TL TL TL TL TL
accomplished the release of individuals from long-term stays in state institutions.
TL TL TL TL TL TL TL TL TL TL TL
Deinstitutionalization also had negative effects in that some mentally ill persons are
TL TL TL TL TL TL TL TL TL TL TL TL
subjected to the revolving door effect, which may limit care for mentally ill
TL TL TL TL TL TL TL TL TL TL TL TL TL
persons.
TL
9. The goal of the 1963 Community Mental Health Centers Act was to
TL TL TL TL TL TL TL TL TL TL TL
A) ensure patients' rights for the mentally ill. TL TL TL TL TL TL
B) deinstitutionalize state hospitals. TL TL
C) provide funds to build hospitals with psychiatric units. TL TL TL TL TL TL TL
D) treat people with mental illness in a humane
TL TL TL TL TL TL TL
fashion. Ans: B
TL TL T L
Feedback:
The 1963 Community Mental Health Centers Act intimated the movement toward
TL TL TL TL TL TL TL TL TL TL
treating those with mental illness in a less restrictive environment. This legislation
TL TL TL TL TL TL TL TL TL TL TL TL
resulted in the shift of clients with mental illness from large state institutions to
TL TL TL TL TL TL TL TL TL TL TL TL TL TL
care based in the community. Answer choices A, C, and D were not purposes of the
TL TL TL TL TL TL TL TL TL TL TL TL TL TL TL TL
1963 Community Mental Health Centers Act.
TL TL TL TL TL TL
10. The creation of asylums during the 1800s was meant to
TL TL TL TL TL TL TL TL TL
A) improve treatment of mental disorders. TL TL TL TL
B) provide food and shelter for the mentally ill. TL TL TL TL TL TL TL
C) punish people with mental illness who were believed to be possessed.
TL TL TL TL TL TL TL TL TL TL
D) remove dangerous people with mental illness from the TL TL TL TL TL TL TL
community. Ans: B
TL TL T L
Feedback:
The asylum was meant to be a safe haven with food, shelter, and humane treatment
TL TL TL TL TL TL TL TL TL TL TL TL TL TL
for the mentally ill. Asylums were not used to improve treatment of mental disorders
TL TL TL TL TL TL TL TL TL TL TL TL TL TL
or to punish mentally ill people who were believed to be possessed. The asylum
TL TL TL TL TL TL TL TL TL TL TL TL TL TL
was not created to remove the dangerously mentally ill from the community.
TL TL TL TL TL TL TL TL TL TL TL TL
TL TL TL TL TL TL TL TL
Chapter 1 TL
1. The nurse is assessing the factors contributing to the
TL TL TL TL TL TL TL TL
well-being of a newly admitted client. Which of the
TL TL TL TL TL TL TL TL TL
following would the nurse identify as having a positive
TL TL TL TL TL TL TL TL TL
impact onthe individual's mental health?
TL TL TL TL TL
A) Not needing others for companionship TL TL TL TL
B) The ability to effectively manage stress
TL TL TL TL TL
C) A family history of mental illness
TL TL TL TL TL
D) Striving for total self-reliance TL TL TL
Ans: B
TL T L
Feedback:
Individual factors influencing mental health include
TL TL TL TL TL
biologic makeup, autonomy, independence, self-esteem,
TL TL TL TL TL
capacity for growth, vitality, ability to find meaning in
TL TL TL TL TL TL TL TL TL
life, emotional resilience or hardiness, sense of
TL TL TL TL TL TL TL
belonging, reality orientation, and coping or stress
TL TL TL TL TL TL TL
management abilities. Interpersonal factors such as
TL TL TL TL TL TL
intimacy and a balance of separateness and
TL TL TL TL TL TL TL
connectedness are both needed
TL TL TL TL
for good mental health, and therefore ahealthy person would need others for
TL TL TL TL TL TL TL TL TL TL TL
companionship. A family history of mental illnesscould relate to the biologic
TL TL TL TL TL TL TL TL TL TL TL
makeup of an individual, which may have a negative impacton an individual's
TL TL TL TL TL TL TL TL TL TL TL TL
mental health, as well as a negative impact on an individual's interpersonal and
TL TL TL TL TL TL TL TL TL TL TL TL TL
socialñcultural factors of health. Total self-reliance is not possible, and a positive
TL TL TL TL TL TL TL TL TL TL TL TL
social/cultural factor is access to adequate resources.
TL TL TL TL TL TL TL
2. Which of the following statements about mental illness are true? Select all that apply.
TL TL TL TL TL TL TL TL TL TL TL TL TL
A) Mental illness can cause significant distress, impaired functioning, or both.
TL TL TL TL TL TL TL TL TL
B) Mental illness is only due to social/cultural factors.TL TL TL TL TL TL TL
C) Social/cultural factors that relate to mental illness include excessive TL TL TL TL TL TL TL TL
dependency on or withdrawal from relationships.
TL TL TL TL TL TL
D) Individuals suffering from mental illness are usually able to cope effectively
TL TL TL TL TL TL TL TL TL TL
with daily life.
TL TL TL
E) Individuals suffering from mental illness may experience dissatisfaction TL TL TL TL TL TL TL
with relationships and self.
TL TL TL TL
Ans: A, D, E TL TL TL
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
TL TL TL TL TL TL TL TL TL TL
illness may be related to individual, interpersonal, or social/cultural factors.
TL TL TL TL TL TL TL TL TL TL
Excessive dependency on or withdrawal from relationships are interpersonal factors
TL TL TL TL TL TL TL TL TL TL
that relate to mental illness. Individuals suffering from mental illness can feel
TL TL TL TL TL TL TL TL TL TL TL TL
overwhelmed with daily life. Individuals suffering from mental illness may
TL TL TL TL TL TL TL TL TL TL
experience dissatisfaction with relationships and self.
TL TL TL TL TL TL
,3. Which of the following are true regarding mental health and mental illness?
TL TL TL TL TL TL TL TL TL TL TL
A) Behavior that may be viewed as acceptable in one culture is always
TL TL TL TL TL TL TL TL TL TL TL
unacceptable in other cultures.
TL TL TL TL
B) It is easy to determine if a person is mentally healthy or mentally ill.
TL TL TL TL TL TL TL TL TL TL TL TL TL
C) In most cases, mental health is a state of emotional, psychological, and
TL TL TL TL TL TL TL TL TL TL TL
social wellness evidenced by satisfying interpersonal relationships, effective
TL TL TL TL TL TL TL TL
behavior and coping, positive self-concept, and emotional stability.
TL TL TL TL TL TL TL TL
D) Persons who engage in fantasies are mentally TL TL TL TL TL TL
ill. Ans: C
TL TL T L
Feedback:
What one society may view as acceptable and appropriate behavior, another society
TL TL TL TL TL TL TL TL TL TL TL
may see that as maladaptive, and inappropriate. Mental health and mental illness are
TL TL TL TL TL TL TL TL TL TL TL TL TL
difficult to define precisely. In most cases, mental health is a state of emotional,
TL TL TL TL TL TL TL TL TL TL TL TL TL TL
psychological, and social wellness evidenced by satisfying interpersonal
TL TL TL TL TL TL TL TL
relationships, effective behavior and coping, positive self-concept, and emotional
TL TL TL TL TL TL TL TL TL
stability. Persons who engage in fantasies may be mentally healthy, but the inability
TL TL TL TL TL TL TL TL TL TL TL TL TL
to distinguish reality from fantasy is an individual factor that may contribute to
TL TL TL TL TL TL TL TL TL TL TL TL TL
mental illness.
TL TL
4. A client grieving the recent loss of her husband asks if she is becoming mentally
TL TL TL TL TL TL TL TL TL TL TL TL TL TL
ill because she is so sad. The nurse's best response would be,
TL TL TL TL TL TL TL TL TL TL TL TL
A) ìYou may have a temporary mental illness because you are experiencing so
TL TL TL TL TL TL TL TL TL TL TL
much pain.î TL TL
B) ìYou are not mentally ill. This is an expected reaction to the loss you
TL TL TL TL TL TL TL TL TL TL TL TL TL
have experienced.î
TL TL
C) ìWere you generally dissatisfied with your relationship before your
TL TL TL TL TL TL TL TL
husband's death?î
TL TL
D) ìTry not to worry about that right now. You never know what the future
TL TL TL TL TL TL TL TL TL TL TL TL TL
brings.î Ans: B
TL TL T L
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
TL TL TL TL TL TL TL TL
ineffective coping, and lack of personal growth. Additionally the behavior must not
TL TL TL TL TL TL TL TL TL TL TL TL
be culturally expected. Acute grief reactions are expected and therefore not
TL TL TL TL TL TL TL TL TL TL TL
considered mental illness. False reassurance or overanalysis does not accurately
TL TL TL TL TL TL TL TL TL TL
address the client's concerns.
TL TL TL TL
,5. The nurse consults the DSM for which of the following purposes?
TL TL TL TL TL TL TL TL TL TL T L
A) To devise a plan of care for a newly admitted client
TL TL TL TL TL TL TL TL TL TL
B) To predict the client's prognosis of treatment outcomes
TL TL TL TL TL TL TL
C) To document the appropriate diagnostic code in the client's medical record
TL TL TL TL TL TL TL TL TL TL
D) To serve as a guide for client assessment
TL TL TL TL TL TL TL TL T L
Ans: D TL
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
TL TL TL TL TL TL TL TL
identifies underlying causes of mental disorders. It does not provide care plans or
TL TL TL TL TL TL TL TL TL TL TL TL TL
prognostic outcomes of treatment. Diagnosis of mental illness is not within the
TL TL TL TL TL TL TL TL TL TL TL TL
generalist RN's scope of practice, so documenting the code in the medical record
TL TL TL TL TL TL TL TL TL TL TL TL TL
would be inappropriate.
TL TL TL
6. Which would be a reason for a student nurse to use the DSM?
TL TL TL TL TL TL TL TL TL TL TL TL T L
A) Identifying the medical diagnosis TL TL TL
B) Treat clients TL
C) Evaluate treatments TL
D) Understand the reason for the admission and the nature of psychiatric illnesses.
TL TL TL TL TL TL TL TL TL TL TL TL T L
Ans: D TL
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
TL TL TL TL TL TL TL TL TL TL TL TL TL TL TL
helpful resource to understand the reason for the admission and to begin building
TL TL TL TL TL TL TL TL TL TL TL TL TL
knowledge about the nature of psychiatric illnesses. Identifying the medical diagnosis,
TL TL TL TL TL TL TL TL TL TL TL
treating, and evaluating treatments are not a part of the nursing process.
TL TL TL TL TL TL TL TL TL TL TL TL
7. The legislation enacted in 1963 was largely responsible for which of the following
TL TL TL TL TL TL TL TL TL TL TL TL
shifts in care for the mentally ill?
TL TL TL TL TL TL TL
A) The widespread use of community-based services
TL TL TL TL TL
B) The advancement in pharmacotherapies TL TL TL
C) Increased access to hospitalization TL TL TL
D) Improved rights for clients in long-term institutional TL TL TL TL TL TL
care Ans: A
TL TL T L
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the
TL TL TL TL TL TL TL TL TL TL
release of individuals from long-term stays in state institutions, the decrease in
TL TL TL TL TL TL TL TL TL TL TL TL
admissions to hospitals, and the development of community-based services as an
TL TL TL TL TL TL TL TL TL TL TL
alternative to hospital care.
TL TL TL TL
, 8. Which one of the following is a result of federal legislation?
TL TL TL TL TL TL TL TL TL TL
A) Making it easier to commit people for mental health treatment against their will.
TL TL TL TL TL TL TL TL TL TL TL TL
B) Making it more difficult to commit people for mental health treatment
TL TL TL TL TL TL TL TL TL TL
against their will.
TL TL TL
C) State mental institutions being the primary source of care for mentally ill persons.
TL TL TL TL TL TL TL TL TL TL TL TL
D) Improved care for mentally ill TL TL TL TL
persons. Ans: B
TL TL T L
Feedback:
Commitment laws changed in the early 1970s, making it more difficult to commit
TL TL TL TL TL TL TL TL TL TL TL TL
people for mental health treatment against their will. Deinstitutionalization
TL TL TL TL TL TL TL TL TL
accomplished the release of individuals from long-term stays in state institutions.
TL TL TL TL TL TL TL TL TL TL TL
Deinstitutionalization also had negative effects in that some mentally ill persons are
TL TL TL TL TL TL TL TL TL TL TL TL
subjected to the revolving door effect, which may limit care for mentally ill
TL TL TL TL TL TL TL TL TL TL TL TL TL
persons.
TL
9. The goal of the 1963 Community Mental Health Centers Act was to
TL TL TL TL TL TL TL TL TL TL TL
A) ensure patients' rights for the mentally ill. TL TL TL TL TL TL
B) deinstitutionalize state hospitals. TL TL
C) provide funds to build hospitals with psychiatric units. TL TL TL TL TL TL TL
D) treat people with mental illness in a humane
TL TL TL TL TL TL TL
fashion. Ans: B
TL TL T L
Feedback:
The 1963 Community Mental Health Centers Act intimated the movement toward
TL TL TL TL TL TL TL TL TL TL
treating those with mental illness in a less restrictive environment. This legislation
TL TL TL TL TL TL TL TL TL TL TL TL
resulted in the shift of clients with mental illness from large state institutions to
TL TL TL TL TL TL TL TL TL TL TL TL TL TL
care based in the community. Answer choices A, C, and D were not purposes of the
TL TL TL TL TL TL TL TL TL TL TL TL TL TL TL TL
1963 Community Mental Health Centers Act.
TL TL TL TL TL TL
10. The creation of asylums during the 1800s was meant to
TL TL TL TL TL TL TL TL TL
A) improve treatment of mental disorders. TL TL TL TL
B) provide food and shelter for the mentally ill. TL TL TL TL TL TL TL
C) punish people with mental illness who were believed to be possessed.
TL TL TL TL TL TL TL TL TL TL
D) remove dangerous people with mental illness from the TL TL TL TL TL TL TL
community. Ans: B
TL TL T L
Feedback:
The asylum was meant to be a safe haven with food, shelter, and humane treatment
TL TL TL TL TL TL TL TL TL TL TL TL TL TL
for the mentally ill. Asylums were not used to improve treatment of mental disorders
TL TL TL TL TL TL TL TL TL TL TL TL TL TL
or to punish mentally ill people who were believed to be possessed. The asylum
TL TL TL TL TL TL TL TL TL TL TL TL TL TL
was not created to remove the dangerously mentally ill from the community.
TL TL TL TL TL TL TL TL TL TL TL TL
