Test Generator Questions, Chapter 1, Psychiatric and Mental
Health Nursing: From Past to Present
1. During the 1800s, moral treatment became the influential idea that led to the belief
that which was the cure for mental illness?
A) arrest and confinement
B) early psychotherapy
C) humane treatment
D) the use of chains
Ans: C
Feedback:
During the 1800s, Pinel claimed that the cure for mental illness was humane
treatment, defined as kindness, compassion, and a pleasant environment. Pinel
opposed earlier strategies such as confinement and chains. Psychotherapy had not
yet been introduced at this time.
Format: Multiple Choice
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Understand
Difficulty: Easy
Header: A Revolutionary Idea: Humane Treatment
Integrated Process: Nursing Process
Objective: 1, 3
Page: 3
Page 1
,2. Who was the psychiatrist who suggested the term “mental hygiene”?
A) Clarence Hincks
B) Sigmund Freud
C) Philippe Pinel
D) Adolf Meyer
Ans: D
Feedback:
The psychiatrist who suggested the term “mental hygiene” was Adolf Meyer. He chose
the term because it was consistent with his view of mental health as the expression of
physiologic and emotional “cleanliness.”
Format: Multiple Choice
Chapter: 1
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Remember
Difficulty: Easy
Header: Life Within Early Institutions
Integrated Process: Nursing Process
Objective: 1, 3, 4
Page: 6
3. Before the 19th century, seriously mentally ill clients with severely disturbing
behaviour were usually cared for by:
A) family members at home.
B) spiritual healers in asylums.
C) laypersons in hospitals.
D) staff in prisons and poorhouses.
Ans: D
Page 2
, Feedback:
Until the 19th century, mentally ill people were kept mostly at home, cared for by their
families. Only the most seriously afflicted people whose behaviour was severely
disturbing or dangerous to themselves, their families, or other citizens were locked up
often in prisons or a separate wing of a local poorhouse.
Format: Multiple Choice
Chapter: 1
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Understand
Difficulty: Moderate
Header: Introduction
Integrated Process: Caring
Objective: 1, 3, 5
Page: 2
4. Which variable of communities had the most influence on the early forms of
institutional ways of caring for the mentally ill people?
A) quality of housing and number of professionals
B) social stability and availability of resources
C) political climate and public policy
D) legal structure and role of nurses
Ans: B
Feedback:
History reflects that, generally, social fears and tolerance for what is deemed as
“deviant behaviour” are related to social stability and availability of resources. In
periods of relative social stability, individuals with mental disorders often have a
better chance to live safely within their communities. Professionalism and nursing
were not well-developed at this early stage of care. Public policy was not usually
formulated explicitly.
Page 3
Health Nursing: From Past to Present
1. During the 1800s, moral treatment became the influential idea that led to the belief
that which was the cure for mental illness?
A) arrest and confinement
B) early psychotherapy
C) humane treatment
D) the use of chains
Ans: C
Feedback:
During the 1800s, Pinel claimed that the cure for mental illness was humane
treatment, defined as kindness, compassion, and a pleasant environment. Pinel
opposed earlier strategies such as confinement and chains. Psychotherapy had not
yet been introduced at this time.
Format: Multiple Choice
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Understand
Difficulty: Easy
Header: A Revolutionary Idea: Humane Treatment
Integrated Process: Nursing Process
Objective: 1, 3
Page: 3
Page 1
,2. Who was the psychiatrist who suggested the term “mental hygiene”?
A) Clarence Hincks
B) Sigmund Freud
C) Philippe Pinel
D) Adolf Meyer
Ans: D
Feedback:
The psychiatrist who suggested the term “mental hygiene” was Adolf Meyer. He chose
the term because it was consistent with his view of mental health as the expression of
physiologic and emotional “cleanliness.”
Format: Multiple Choice
Chapter: 1
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Remember
Difficulty: Easy
Header: Life Within Early Institutions
Integrated Process: Nursing Process
Objective: 1, 3, 4
Page: 6
3. Before the 19th century, seriously mentally ill clients with severely disturbing
behaviour were usually cared for by:
A) family members at home.
B) spiritual healers in asylums.
C) laypersons in hospitals.
D) staff in prisons and poorhouses.
Ans: D
Page 2
, Feedback:
Until the 19th century, mentally ill people were kept mostly at home, cared for by their
families. Only the most seriously afflicted people whose behaviour was severely
disturbing or dangerous to themselves, their families, or other citizens were locked up
often in prisons or a separate wing of a local poorhouse.
Format: Multiple Choice
Chapter: 1
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Understand
Difficulty: Moderate
Header: Introduction
Integrated Process: Caring
Objective: 1, 3, 5
Page: 2
4. Which variable of communities had the most influence on the early forms of
institutional ways of caring for the mentally ill people?
A) quality of housing and number of professionals
B) social stability and availability of resources
C) political climate and public policy
D) legal structure and role of nurses
Ans: B
Feedback:
History reflects that, generally, social fears and tolerance for what is deemed as
“deviant behaviour” are related to social stability and availability of resources. In
periods of relative social stability, individuals with mental disorders often have a
better chance to live safely within their communities. Professionalism and nursing
were not well-developed at this early stage of care. Public policy was not usually
formulated explicitly.
Page 3
