TEST BANK
Foundations of Mental Health Care
Michelle Morrison-Valfre
8th Edition
,Table of Contents
Chapter 01 The History of Mental Health Care 1
Chapter 02 Current Mental Health Care Systems 8
Chapter 03 Ethical and Legal Issues 15
Chapter 04 Sociocultural Issues 22
Chapter 05 Theories and Therapies 29
Chapter 06 Complementary and Alternative Therapies 37
Chapter 07 Psychotherapeutic Drug Therapy 44
Chapter 08 Principles and Skills of Mental Health Care 51
Chapter 09 Mental Health Assessment Skills 60
Chapter 10 Therapeutic Communication 68
Chapter 11 The Therapeutic Relationship 77
Chapter 12 The Therapeutic Environment 86
Chapter 13 Problems of Childhood 95
Chapter 14 Problems of Adolescence 103
Chapter 15 Problems of Adulthood 110
Chapter 16 Problems of Late Adulthood 118
Chapter 17 Cognitive Impairment, Alzheimer’s Disease, and Dementia 125
Chapter 18 Managing Anxiety 133
Chapter 19 Illness and Hospitalization 141
Chapter 20 Loss and Grief 150
Chapter 21 Depression and Other Mood Disorders 157
Chapter 22 Physical Problems, Psychological Sources 164
Chapter 23 Eating and Sleeping Disorders 171
Chapter 24 Dissociative Disorders 178
Chapter 25 Anger and Aggression 186
Chapter 26 Outward-Focused Emotions-Violence 194
Chapter 27 Inward-Focused Emotions-Suicide 201
Chapter 28 Substance-Related Disorders 208
Chapter 29 Sexuality, Gender Identity, and Sexual Disorders 215
Chapter 30 Personality Disorders 222
Chapter 31 Schizophrenia and Other Psychoses 230
Chapter 32 Chronic Mental Health Disorders 237
Chapter 33 Challenges for the Future 244
Next-Generation NCLEX® (NGN)—Style Case Studies for Mental Health 251
Case Study 01 Addiction 251
Case Study 02 Anxiety 253
Case Study 03 Depression 255
Case Study 04 Posttraumatic Stress Disorder (PTSD) 258
Case Study 05 Depression 260
Case Study 06 Grief 274
,______________________________________________________________________________________________
Test Bank - Foundations of Mental Health Care, 8th Edition (Morrison-Valfre, 2023)
Chapter 01: The History of Mental Health Care
Morrison-Valfre: Foundations of Mental Health Care, 8th Edition
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.
ANS: 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.
DIF: Cognitive Level: Comprehension 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
ANS: 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.
DIF: Cognitive Level: Knowledge 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 18th 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.
ANS: C
______________________________________________________________________________________________
1|Page
, ______________________________________________________________________________________________
Test Bank - Foundations of Mental Health Care, 8th Edition (Morrison-Valfre, 2023)
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.
DIF: Cognitive Level: Knowledge OBJ: 4
TOP: Mental Illness in the 18th 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
ANS: 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.
DIF: Cognitive Level: Knowledge OBJ: 4
TOP: Mental Illness in the 19th Century KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
5. As a direct result of Clifford Beers’ work and book, A 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.
ANS: 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.
DIF: Cognitive Level: Knowledge OBJ: 4
TOP: Mental Illness in the 20th 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
______________________________________________________________________________________________
2|Page
Foundations of Mental Health Care
Michelle Morrison-Valfre
8th Edition
,Table of Contents
Chapter 01 The History of Mental Health Care 1
Chapter 02 Current Mental Health Care Systems 8
Chapter 03 Ethical and Legal Issues 15
Chapter 04 Sociocultural Issues 22
Chapter 05 Theories and Therapies 29
Chapter 06 Complementary and Alternative Therapies 37
Chapter 07 Psychotherapeutic Drug Therapy 44
Chapter 08 Principles and Skills of Mental Health Care 51
Chapter 09 Mental Health Assessment Skills 60
Chapter 10 Therapeutic Communication 68
Chapter 11 The Therapeutic Relationship 77
Chapter 12 The Therapeutic Environment 86
Chapter 13 Problems of Childhood 95
Chapter 14 Problems of Adolescence 103
Chapter 15 Problems of Adulthood 110
Chapter 16 Problems of Late Adulthood 118
Chapter 17 Cognitive Impairment, Alzheimer’s Disease, and Dementia 125
Chapter 18 Managing Anxiety 133
Chapter 19 Illness and Hospitalization 141
Chapter 20 Loss and Grief 150
Chapter 21 Depression and Other Mood Disorders 157
Chapter 22 Physical Problems, Psychological Sources 164
Chapter 23 Eating and Sleeping Disorders 171
Chapter 24 Dissociative Disorders 178
Chapter 25 Anger and Aggression 186
Chapter 26 Outward-Focused Emotions-Violence 194
Chapter 27 Inward-Focused Emotions-Suicide 201
Chapter 28 Substance-Related Disorders 208
Chapter 29 Sexuality, Gender Identity, and Sexual Disorders 215
Chapter 30 Personality Disorders 222
Chapter 31 Schizophrenia and Other Psychoses 230
Chapter 32 Chronic Mental Health Disorders 237
Chapter 33 Challenges for the Future 244
Next-Generation NCLEX® (NGN)—Style Case Studies for Mental Health 251
Case Study 01 Addiction 251
Case Study 02 Anxiety 253
Case Study 03 Depression 255
Case Study 04 Posttraumatic Stress Disorder (PTSD) 258
Case Study 05 Depression 260
Case Study 06 Grief 274
,______________________________________________________________________________________________
Test Bank - Foundations of Mental Health Care, 8th Edition (Morrison-Valfre, 2023)
Chapter 01: The History of Mental Health Care
Morrison-Valfre: Foundations of Mental Health Care, 8th Edition
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.
ANS: 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.
DIF: Cognitive Level: Comprehension 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
ANS: 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.
DIF: Cognitive Level: Knowledge 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 18th 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.
ANS: C
______________________________________________________________________________________________
1|Page
, ______________________________________________________________________________________________
Test Bank - Foundations of Mental Health Care, 8th Edition (Morrison-Valfre, 2023)
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.
DIF: Cognitive Level: Knowledge OBJ: 4
TOP: Mental Illness in the 18th 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
ANS: 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.
DIF: Cognitive Level: Knowledge OBJ: 4
TOP: Mental Illness in the 19th Century KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
5. As a direct result of Clifford Beers’ work and book, A 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.
ANS: 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.
DIF: Cognitive Level: Knowledge OBJ: 4
TOP: Mental Illness in the 20th 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
______________________________________________________________________________________________
2|Page
