,Table of Contents
Chapter 01: The History Of MENTAL Health Care ....................................................................................... 4
Chapter 02: Current MENTAL Health Care Systems .................................................................................. 16
Chapter 03: Ethical And Legal Issues ......................................................................................................... 29
Chapter 04: Sociocultural Issues ................................................................................................................ 43
Chapter 05: Theories And Therapies ......................................................................................................... 59
Chapter 06: Complementary And Alternative Therapie ........................................................................... 75
Chapter 07: Psychotherapeutic Drug Therapy .......................................................................................... 92
Chapter 8: Skills And Principles Of MENTAL Health Care ....................................................................... 109
Chapter 10: Therapeutic Communication ............................................................................................... 122
Chapter 9: MENTAL Health Assessment Skills ......................................................................................... 136
Chapter 11: The Therapeutic Relationship .............................................................................................. 151
Chapter 12: The Therapeutic Environment ............................................................................................. 166
Chapter 13: Problems Of Childhood ........................................................................................................ 179
Chapter 14: Problems Of Adolescence .................................................................................................... 194
Chapter 15: Problems Of Adulthood ....................................................................................................... 209
Chapter 16: Problems Of Late Adulthood ............................................................................................... 225
Chapter 17: Cognitive Impairment, Alzheimer's Disease, And Dementia .............................................. 238
Chapter 18: Managing Anxiety ................................................................................................................ 253
Chapter 19: Illness And Hospitalization................................................................................................... 268
Chapter 20: Loss And Grief....................................................................................................................... 283
Chapter 21: Depression And Other Mood Disorders .............................................................................. 299
Chapter 22: Physical Problems, Psychological Sources ........................................................................... 312
Chapter 23: Eating And Sleeping Disorders ............................................................................................. 326
Chapter 24: Dissociative Disorders .......................................................................................................... 340
Chapter 25: Anger And Aggression .......................................................................................................... 355
Chapter 26: Outward-Focused Emotions: Violence ................................................................................ 369
Chapter 27: Inward-Focused Emotions: Suicide...................................................................................... 385
Chapter 28: Substance-Related Disorders ............................................................................................... 399
Chapter 29: Sexual Disorders ................................................................................................................... 412
Chapter 30: Personality Disorders ........................................................................................................... 428
Chapter 31: Schizophrenia And Other Psychoses ................................................................................... 443
Chapter 32: Chronic MENTAL Health Disorders ...................................................................................... 457
,Chapter 33: Challenges For The Future ................................................................................................... 470
,Chapter 01: The History Of MENTAL Health Care
MULTIPLE CHOICE
1. The Belief Of The Ancient Greek Philosopher Plato That The Rational Soul Controlled The
Irrational Soul Could Be Compared With The Belief Of The More Recent Psychological Theorist:
A. Freud
B. Pinel
C. Fisher
D. Rush
CORRECT ANSWER>> A
Sigmund Freud Believed That MENTAL Illness Was, In Part, Caused By Forces Both Within And Outside
The Personality. Philippe Pinel Advocated Acceptance Of MENTALly Ill Individuals As Human Beings In
Need Of Medical Assistance. Alice Fisher Was A Florence Nightingale Nurse Who Cared For The
MENTALly Ill, And Dr. Benjamin Rush Was The Author Of The Book Diseases Of The Mind.
PTS: 1 DIF: Cognitive Level: ComprehensionREF: P. 4 OBJ: 2 TOP: Early Years Of MENTAL
Health
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
2. During The Mid-1500s, Behaviors Associated With MENTAL Illness Were More Accurately
Recorded By Professionals. This Practice Led To For Different Abnormal Behaviors.
A. Classifications
B. Diagnosing
C. TREATMENT
D. Education
CORRECT ANSWER>> A
Classification Of Abnormal Behaviors Did Not Begin Until This Time, After The Practice Of More Accurate
Recording Of Behaviors Was Begun. Diagnoses, TREATMENT Guidelines, And Any Education Regarding
MENTAL Health Disorders Were Not Available During This Period.
,PTS: 1 DIF: Cognitive Level: Knowledge REF: P. 5 OBJ: 3 TOP: MENTAL Illness During The
Renaissance
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
3. During The Latter Part Of The Eighteenth Century, Psychiatry Became A Separate Branch Of
Medicine, And Inhumane TREATMENT Was Greatly Diminished By The French Hospital Director:
A. Dix
B. Beers
C. Pinel
D. Carter
CORRECT ANSWER>> C
Philippe Pinel Advocated Acceptance Of The MENTALly Ill, As Well As Proper TREATMENT. Dorothea Dix
Crusaded For Construction Of MENTAL Health Hospitals. Clifford Beers Wrote The Book A Mind That
Found Itself. President Jimmy Carter Established The President’s Commission On MENTAL Health In
1978.
PTS: 1 DIF: Cognitive Level: Knowledge REF: P. 5 OBJ: 4 TOP: MENTAL Illness In The
Eighteenth Century
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
4. In 1841, Surveyed Asylums, Jails, And Almshouses Throughout The United States,
Canada, And Scotland And Is Credited With Bringing About Public Awareness And Reform For The Care
Of The MENTALly Ill.
A. Sigmund Freud
B. John Cade
C. Florence Nightingale
D. Dorothea Dix
CORRECT ANSWER>> D
Dorothea Dix Spent 20 Years Surveying Facilities That Housed MENTALly Ill Individuals And Is Credited
With Major Changes In The Care Of The MENTALly Ill. Sigmund Freud Introduced The Concept Of
Psychoanalysis, John Cade Discovered Lithium Carbonate For The TREATMENT Of Bipolar Disorder, And
Florence Nightingale Trained Nurses In England In The 1800s.
,PTS: 1 DIF: Cognitive Level: Knowledge REF: P. 6 OBJ: 4 TOP: MENTAL Illness In The
Nineteenth Century
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
5. As A Direct Result Of Clifford Nbeerrs’ Iworgk Anbd.Bcook,MA Mind That Found Itself, The
Committee For MENTAL Hygiene Was Formed In 1909 With A Focus On Prevention Of MENTAL Illness
And:
A. Early Detection Of Symptoms Of MENTAL Illness
B. Education Of Caregivers
C. Current TREATMENT Options
D. Removing The Stigma Attached To MENTAL Illness
CORRECT ANSWER>> D
Clifford Beers’ Book Reflected On His Attempt At Suicide Followed By The Deplorable Care He Received
For The Next 3 Years In MENTAL Hospitals. Beers’ Work And Book Raised The Consciousness Of People
Throughout The Country Regarding Prevention And Removal Of The Stigma Of Having A MENTAL Illness.
Early Detection Of Symptoms, Education Of Caregivers, And Current TREATMENT Options Regarding
MENTAL Illness Were Not The Focus Of His Book, Nor Were They A Priority For The Committee For
MENTAL Hygiene.
PTS: 1 DIF: Cognitive Level: Knowledge REF: P. 6 OBJ: 4 TOP: MENTAL Illness In The
Twentieth Century
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
6. During The 1930s, What Common TREATMENT For Schizophrenia Caused Clients To Fall Into A
Coma That Could Last As Long As 50 Hours?
A. Electroconvulsive Therapy
B. Insulin Therapy
C. Humoral Therapy
D. Amphetamine Therapy
CORRECT ANSWER>> B
, Insulin Therapy Was Believed To Successfully Treat Schizophrenia In The Early 1900s. Amphetamines
Were Used To Treat Depression, And Electroconvulsive Therapy Was Used For Severe Depression.
Humoral Therapy, Which Originated In Ancient Greece And Rome, Was A Belief That MENTAL Illness
Resulted From An Imbalance Of The Humors Of Air, Fire, Water, And Earth.
PTS: 1 DIF: Cognitive Level: Knowledge REF: P. 8 OBJ: 5 TOP: Influences Of War On
MENTAL Health Therapies
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
7. In The 1930s, What MENTAL Health Disorder Was Electroconvulsive Therapy (ECT) Most Often
Used To Treat?
A. Schizophrenia
B. Bipolar Disorder
C. Severe Depression
D. Violent Behavior
CORRECT ANSWER>> C
ECT Was Found To Be An Effective TREATMENT For Severe Depression In The 1930s. During This Period,
Schizophrenia Was Treated With Insulin Therapy, And Violent Behavior Was Treated With A Lobotomy.
In 1949, Lithium Carbonate Was Discovered As A TREATMENT For Bipolar Disorder.
PTS: 1 DIF: Cognitive Level: Knowledge REF: P. 6 OBJ: 5 TOP: Influences Of War On
MENTAL Health Therapies
KEY: Nursing Process Step: Anssesrsmeint GMSBC:.Ccliemnt Needs: Psychosocial Integrity
USNT O
8. In The Early Twentieth Century, A Frontal Lobotomy Was A Common TREATMENT For Violent
Behaviors. Which Description Of This Procedure Is Accurate?
A. A Procedure That Delivers An Electrical Stimulus To The Frontal Lobes Of The Brain
B. A Surgical Procedure That Drills Holes In The Front Of The Skull To Drain Fluid
C. A Surgical Procedure That Severs The Frontal Lobes Of The Brain From The Thalamus
D. A Surgical Procedure That Inserts Implants Into The Frontal Lobes Of The Brain
CORRECT ANSWER>> C
Chapter 01: The History Of MENTAL Health Care ....................................................................................... 4
Chapter 02: Current MENTAL Health Care Systems .................................................................................. 16
Chapter 03: Ethical And Legal Issues ......................................................................................................... 29
Chapter 04: Sociocultural Issues ................................................................................................................ 43
Chapter 05: Theories And Therapies ......................................................................................................... 59
Chapter 06: Complementary And Alternative Therapie ........................................................................... 75
Chapter 07: Psychotherapeutic Drug Therapy .......................................................................................... 92
Chapter 8: Skills And Principles Of MENTAL Health Care ....................................................................... 109
Chapter 10: Therapeutic Communication ............................................................................................... 122
Chapter 9: MENTAL Health Assessment Skills ......................................................................................... 136
Chapter 11: The Therapeutic Relationship .............................................................................................. 151
Chapter 12: The Therapeutic Environment ............................................................................................. 166
Chapter 13: Problems Of Childhood ........................................................................................................ 179
Chapter 14: Problems Of Adolescence .................................................................................................... 194
Chapter 15: Problems Of Adulthood ....................................................................................................... 209
Chapter 16: Problems Of Late Adulthood ............................................................................................... 225
Chapter 17: Cognitive Impairment, Alzheimer's Disease, And Dementia .............................................. 238
Chapter 18: Managing Anxiety ................................................................................................................ 253
Chapter 19: Illness And Hospitalization................................................................................................... 268
Chapter 20: Loss And Grief....................................................................................................................... 283
Chapter 21: Depression And Other Mood Disorders .............................................................................. 299
Chapter 22: Physical Problems, Psychological Sources ........................................................................... 312
Chapter 23: Eating And Sleeping Disorders ............................................................................................. 326
Chapter 24: Dissociative Disorders .......................................................................................................... 340
Chapter 25: Anger And Aggression .......................................................................................................... 355
Chapter 26: Outward-Focused Emotions: Violence ................................................................................ 369
Chapter 27: Inward-Focused Emotions: Suicide...................................................................................... 385
Chapter 28: Substance-Related Disorders ............................................................................................... 399
Chapter 29: Sexual Disorders ................................................................................................................... 412
Chapter 30: Personality Disorders ........................................................................................................... 428
Chapter 31: Schizophrenia And Other Psychoses ................................................................................... 443
Chapter 32: Chronic MENTAL Health Disorders ...................................................................................... 457
,Chapter 33: Challenges For The Future ................................................................................................... 470
,Chapter 01: The History Of MENTAL Health Care
MULTIPLE CHOICE
1. The Belief Of The Ancient Greek Philosopher Plato That The Rational Soul Controlled The
Irrational Soul Could Be Compared With The Belief Of The More Recent Psychological Theorist:
A. Freud
B. Pinel
C. Fisher
D. Rush
CORRECT ANSWER>> A
Sigmund Freud Believed That MENTAL Illness Was, In Part, Caused By Forces Both Within And Outside
The Personality. Philippe Pinel Advocated Acceptance Of MENTALly Ill Individuals As Human Beings In
Need Of Medical Assistance. Alice Fisher Was A Florence Nightingale Nurse Who Cared For The
MENTALly Ill, And Dr. Benjamin Rush Was The Author Of The Book Diseases Of The Mind.
PTS: 1 DIF: Cognitive Level: ComprehensionREF: P. 4 OBJ: 2 TOP: Early Years Of MENTAL
Health
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
2. During The Mid-1500s, Behaviors Associated With MENTAL Illness Were More Accurately
Recorded By Professionals. This Practice Led To For Different Abnormal Behaviors.
A. Classifications
B. Diagnosing
C. TREATMENT
D. Education
CORRECT ANSWER>> A
Classification Of Abnormal Behaviors Did Not Begin Until This Time, After The Practice Of More Accurate
Recording Of Behaviors Was Begun. Diagnoses, TREATMENT Guidelines, And Any Education Regarding
MENTAL Health Disorders Were Not Available During This Period.
,PTS: 1 DIF: Cognitive Level: Knowledge REF: P. 5 OBJ: 3 TOP: MENTAL Illness During The
Renaissance
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
3. During The Latter Part Of The Eighteenth Century, Psychiatry Became A Separate Branch Of
Medicine, And Inhumane TREATMENT Was Greatly Diminished By The French Hospital Director:
A. Dix
B. Beers
C. Pinel
D. Carter
CORRECT ANSWER>> C
Philippe Pinel Advocated Acceptance Of The MENTALly Ill, As Well As Proper TREATMENT. Dorothea Dix
Crusaded For Construction Of MENTAL Health Hospitals. Clifford Beers Wrote The Book A Mind That
Found Itself. President Jimmy Carter Established The President’s Commission On MENTAL Health In
1978.
PTS: 1 DIF: Cognitive Level: Knowledge REF: P. 5 OBJ: 4 TOP: MENTAL Illness In The
Eighteenth Century
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
4. In 1841, Surveyed Asylums, Jails, And Almshouses Throughout The United States,
Canada, And Scotland And Is Credited With Bringing About Public Awareness And Reform For The Care
Of The MENTALly Ill.
A. Sigmund Freud
B. John Cade
C. Florence Nightingale
D. Dorothea Dix
CORRECT ANSWER>> D
Dorothea Dix Spent 20 Years Surveying Facilities That Housed MENTALly Ill Individuals And Is Credited
With Major Changes In The Care Of The MENTALly Ill. Sigmund Freud Introduced The Concept Of
Psychoanalysis, John Cade Discovered Lithium Carbonate For The TREATMENT Of Bipolar Disorder, And
Florence Nightingale Trained Nurses In England In The 1800s.
,PTS: 1 DIF: Cognitive Level: Knowledge REF: P. 6 OBJ: 4 TOP: MENTAL Illness In The
Nineteenth Century
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
5. As A Direct Result Of Clifford Nbeerrs’ Iworgk Anbd.Bcook,MA Mind That Found Itself, The
Committee For MENTAL Hygiene Was Formed In 1909 With A Focus On Prevention Of MENTAL Illness
And:
A. Early Detection Of Symptoms Of MENTAL Illness
B. Education Of Caregivers
C. Current TREATMENT Options
D. Removing The Stigma Attached To MENTAL Illness
CORRECT ANSWER>> D
Clifford Beers’ Book Reflected On His Attempt At Suicide Followed By The Deplorable Care He Received
For The Next 3 Years In MENTAL Hospitals. Beers’ Work And Book Raised The Consciousness Of People
Throughout The Country Regarding Prevention And Removal Of The Stigma Of Having A MENTAL Illness.
Early Detection Of Symptoms, Education Of Caregivers, And Current TREATMENT Options Regarding
MENTAL Illness Were Not The Focus Of His Book, Nor Were They A Priority For The Committee For
MENTAL Hygiene.
PTS: 1 DIF: Cognitive Level: Knowledge REF: P. 6 OBJ: 4 TOP: MENTAL Illness In The
Twentieth Century
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
6. During The 1930s, What Common TREATMENT For Schizophrenia Caused Clients To Fall Into A
Coma That Could Last As Long As 50 Hours?
A. Electroconvulsive Therapy
B. Insulin Therapy
C. Humoral Therapy
D. Amphetamine Therapy
CORRECT ANSWER>> B
, Insulin Therapy Was Believed To Successfully Treat Schizophrenia In The Early 1900s. Amphetamines
Were Used To Treat Depression, And Electroconvulsive Therapy Was Used For Severe Depression.
Humoral Therapy, Which Originated In Ancient Greece And Rome, Was A Belief That MENTAL Illness
Resulted From An Imbalance Of The Humors Of Air, Fire, Water, And Earth.
PTS: 1 DIF: Cognitive Level: Knowledge REF: P. 8 OBJ: 5 TOP: Influences Of War On
MENTAL Health Therapies
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
7. In The 1930s, What MENTAL Health Disorder Was Electroconvulsive Therapy (ECT) Most Often
Used To Treat?
A. Schizophrenia
B. Bipolar Disorder
C. Severe Depression
D. Violent Behavior
CORRECT ANSWER>> C
ECT Was Found To Be An Effective TREATMENT For Severe Depression In The 1930s. During This Period,
Schizophrenia Was Treated With Insulin Therapy, And Violent Behavior Was Treated With A Lobotomy.
In 1949, Lithium Carbonate Was Discovered As A TREATMENT For Bipolar Disorder.
PTS: 1 DIF: Cognitive Level: Knowledge REF: P. 6 OBJ: 5 TOP: Influences Of War On
MENTAL Health Therapies
KEY: Nursing Process Step: Anssesrsmeint GMSBC:.Ccliemnt Needs: Psychosocial Integrity
USNT O
8. In The Early Twentieth Century, A Frontal Lobotomy Was A Common TREATMENT For Violent
Behaviors. Which Description Of This Procedure Is Accurate?
A. A Procedure That Delivers An Electrical Stimulus To The Frontal Lobes Of The Brain
B. A Surgical Procedure That Drills Holes In The Front Of The Skull To Drain Fluid
C. A Surgical Procedure That Severs The Frontal Lobes Of The Brain From The Thalamus
D. A Surgical Procedure That Inserts Implants Into The Frontal Lobes Of The Brain
CORRECT ANSWER>> C
