lOMoAR 3jni3jc
3jPSD|
3 j 117
00591
TEST BANK FOR 3 j 3 j
Psychiatric–MentalHealthNursing9thEditionbySheilaL.
Videbeck
3j
AllChapters(1-24)
TableOfContents
UNIT 1 Current Theories and Practice
3 j 3 j 3 j 3 j 3 j
Chapter 1. Foundations of Psychiatric–Mental Health Nursing
3 j 3 j 3 j 3 j 3 j 3 j
Chapter 2. Neurobiologic Theories and Psychopharmacology
3 j 3 j 3 j 3 j 3 j 3 j
Chapter 3. Psychosocial Theories and Therapy
3j 3 j 3 j 3 j 3 j 3 j
Chapter 4. Treatment Settings and Therapeutic 3 j 3 j 3 j 3 j 3 j
ProgramsUNIT 2 Building the Nurse–Client
3j 3j 3 j 3 j 3 j 3 j
Relationship Chapter 5. Therapeutic Relationships
3j 3 j 3 j 3 j
Chapter 6. Therapeutic Communication
3j 3 j 3 j 3 j
Chapter 7. Client’s Response to 3 j 3 j 3 j 3 j
Illness Chapter8.Assessment
3 j 3j 3j
UNIT 3 Current Social and Emotional Concerns
3 j 3 j 3 j 3 j 3 j 3 j
Chapter9.LegalandEthicalIssues 3j 3j 3j
Chapter10.GriefandLoss
3j 3j
Chapter11.Anger,Hostility,and Aggression Chapter 3j 3j 3j ni 3j
12. Abuse and Violence
3 j 3 j 3 j 3 j
UNIT 4 Nursing Practice for Psychiatric
3 j 3 j 3 j 3 j 3 j
Disorders Chapter 13. Trauma and Stressor-
3 j 3 j 3 j 3 j 3 j 3 j
Related Disorders Chapter 14. Anxiety and 3 j 3j 3 j 3 j 3 j
3Anxiety Disorders
j 3 j
Chapter 15. Obsessive–Compulsive and Related Disorders
3 j 3 j 3 j 3 j 3 j
Chapter16.Schizophrenia
3j 3j
Chapter17.Mood Disordersand Suicide ni 3j
Chapter 18. Personality Disorders
3j 3j 3j 3j
Chapter19.Addiction
3j 3j
Chapter 20. Eating Disorders 3j 3j 3j
Chapter21.SomaticSymptom Illnesses
3j 3j ni
Chapter22.NeurodevelopmentalDisorders 3j 3j
Chapter23.DisruptiveBehaviorDisorders
3j 3j
Chapter 24. Cognitive Disorders
3j 3 j 3 j 3 j
Chapter1
1. Thenurseisassessingthefactorscontributingtothewell-beingofanewlyadmittedclient. 3 j
Whichofthefollowingwouldthenurseidentifyashaving apositiveimpactonthe
3 j ni ni ni ni 3j
individual'smentalhealth? 3j
A) Notneedingothersforcompanionship ni
B) Theabilitytoeffectivelymanagestress ni
C) Afamilyhistoryofmentalillness
D) Strivingfortotalself- ni
reliance Ans: B 3j 3j
Feedback:
Individualfactorsinfluencingmentalhealthincludebiologicmakeup,autonomy, 3j
independence,self-esteem,capacityforgrowth,vitality,abilitytofindmeaninginlife,
3j 3j 3j
emotionalresilienceorhardiness,senseofbelonging,realityorientation,and copingorstress
3j 3j 3j ni
managementabilities.Interpersonalfactors such as intimacyandabalanceofseparatenessand
3j 3j ni ni ni ni ni
connectednessarebothneededforgoodmentalhealth,andthereforea
3j ni ni ni
, lOMoAR 3jni3jc
3jPSD|
3 j 117
00591
healthypersonwouldneedothersforcompanionship.Afamilyhistoryofmentalillnesscould
ni ni ni
3 relatetothebiologicmakeupofanindividual,whichmayhaveanegativeimpactonan
j 3j
3individual'smentalhealth,aswellasanegativeimpactonanindividual'sinterpersonaland
j 3 j
3 socialñculturalfactorsofhealth.Totalself-relianceisnotpossible,andapositive
j 3j
social/culturalfactorisaccesstoadequateresources.
3j
2. Whichofthefollowingstatementsabout mentalillnessaretrue? Select allthat apply. ni ni 3j 3 j ni ni
A) Mentalillnesscancausesignificantdistress,impairedfunctioning,orboth. ni
B) Mentalillnessisonlyduetosocial/cultural factors. 3j
C) Social/culturalfactorsthatrelatetomentalillnessincludeexcessivedependencyon ni
orwithdrawalfromrelationships.
3 j ni
D) Individualssufferingfrommentalillnessareusuallyabletocopeeffectivelywith daily ni ni
life. 3 j
E) Individualssufferingfrommentalillnessmayexperiencedissatisfactionwith ni ni ni
relationshipsandself.
3j
Ans:A,D,E 3j 3j
Feedback:
Mentalillnesscancausesignificantdistress, impairedfunctioning,orboth.Mentalillness 3j 3j
mayberelatedtoindividual,interpersonal,orsocial/culturalfactors.Excessivedependency
3j 3j 3j 3j
onorwithdrawalfromrelationshipsareinterpersonalfactorsthatrelatetomentalillness.
3j
Individualssuffering frommentalillnesscanfeeloverwhelmed withdailylife.Individuals ni ni 3j
sufferingfrommentalillnessmayexperiencedissatisfactionwith relationshipsand self.
3j ni ni ni ni ni
3. Whichofthefollowingaretrueregardingmentalhealthand mentalillness?
ni 3j ni ni 3j ni
A) Behaviorthatmaybeviewedasacceptableinonecultureisalwaysunacceptablein ni ni ni
othercultures. 3 j
B) Itis easytodetermineifapersonismentallyhealthyormentallyill.
ni 3 j ni
C) Inmost cases,mentalhealthisastateofemotional,psychological,and social
ni 3j 3j 3j ni
wellnessevidencedbysatisfyinginterpersonalrelationships,effectivebehavior
3j ni ni ni ni
and coping,positiveself-concept,andemotionalstability.
3j ni 3j 3j
D) Personswhoengageinfantasiesarementallyill. ni
Ans: C
3j 3j
Feedback:
Whatonesocietymayviewasacceptableandappropriatebehavior,anothersocietymaysee
3 thatasmaladaptive,andinappropriate.Mentalhealth andmentalillnessaredifficulttodefine
j 3j 3j ni
precisely.In mostcases,mentalhealthisastateofemotional,psychological,andsocial
3j 3j ni 3j 3j
wellnessevidencedbysatisfyinginterpersonalrelationships,effectivebehaviorandcoping,
3j ni 3 j
3positiveself-concept,andemotionalstability.Personswhoengagein fantasiesmaybe
j 3j 3j ni
mentallyhealthy,buttheinabilitytodistinguish realityfromfantasyisanindividualfactor
3j 3j ni
thatmaycontributetomentalillness.
3j
4. Aclientgrievingtherecentlossofherhusbandasksifsheisbecomingmentallyill ni 3 j
3becausesheissosad.Thenurse'sbestresponsewouldbe,
j 3j
A) ìYoumayhaveatemporarymentalillnessbecauseyouareexperiencingsomuchpain.î ni ni
B) ìYouarenotmentallyill.Thisisanexpectedreactiontothelossyou have ni 3j ni
experienced.î 3j
C) ìWereyougenerallydissatisfiedwithyourrelationshipbeforeyourhusband's ni
death?î 3j
D) ìTrynottoworryabout that right now.Youneverknowwhat thefuturebrings.î Ans: B
ni ni ni ni ni 3 j 3 j
Feedback:
Mentalillnessincludesgeneraldissatisfactionwith self,ineffectiverelationships,ineffective ni 3j 3j
coping,andlackofpersonalgrowth.Additionallythebehaviormust notbe
3j ni 3j ni ni
, lOMoAR 3jni3jc
3jPSD|
3 j 117
00591
culturallyexpected. Acutegriefreactionsareexpectedand thereforenotconsideredmental 3j ni
illness.Falsereassurance oroveranalysisdoesnotaccuratelyaddresstheclient's concerns.
3j ni ni ni
5. ThenurseconsultstheDSMforwhichofthefollowingpurposes? 3j
A) Todeviseaplanofcareforanewlyadmittedclient ni
B) Topredicttheclient'sprognosisof treatmentoutcomes ni ni
C) Todocumenttheappropriatediagnosticcodeintheclient'smedicalrecord
D) Toserveasaguideforclientassessment ni
Ans: D
3j 3j
Feedback:
The DSMprovidesstandardnomenclature,presentsdefiningcharacteristics, andidentifies
3j 3j
underlyingcausesofmentaldisorders. Itdoesnotprovidecareplansorprognosticoutcomes
3j 3j
oftreatment.DiagnosisofmentalillnessisnotwithinthegeneralistRN'sscopeofpractice,so
3j ni
documentingthecodeinthemedicalrecordwouldbeinappropriate.
3j ni ni ni ni ni 3j
6. Whichwouldbeareasonfora studentnurseto usetheDSM? ni 3j ni 3j 3j
A) Identifyingthemedicaldiagnosis ni
B) Treatclients ni
C) Evaluatetreatments
D) Understandthereasonfortheadmissionandthenatureofpsychiatricillnesses.Ans: ni ni 3j
3D j
Feedback:
Althoughstudentnursesdonot usetheDSMtodiagnoseclients,theywillfind ita helpful ni 3j 3j 3j ni ni
resourcetounderstandthereasonfortheadmissionandtobeginbuildingknowledgeabout
3j 3 j
3 thenatureofpsychiatricillnesses.Identifyingthemedicaldiagnosis,treating,and evaluating
j ni ni 3j ni ni 3j 3j ni
treatmentsarenotapartofthenursingprocess.
3j
7. Thelegislationenactedin1963waslargelyresponsibleforwhichofthefollowingshiftsin care ni ni ni ni 3 j
forthementallyill?
3 j
A) Thewidespreaduseofcommunity-basedservices
ni 3j
B) Theadvancementinpharmacotherapies
ni 3j
C) Increasedaccesstohospitalization ni ni
D) Improvedrightsforclientsinlong-terminstitutionalcare ni ni
Ans: A
3j 3j
Feedback:
TheCommunityMentalHealthCentersConstructionActof1963accomplishedtherelease
ni 3j ni ni ni 3j
ofindividualsfromlong-termstaysinstateinstitutions,thedecreasein admissionsto
3j 3j ni
hospitals,andthedevelopmentofcommunity-basedservicesasanalternativetohospital
3j 3j
care.
3j
8. Whichoneofthefollowingisaresult offederallegislation? ni ni 3j
A) Makingit easiertocommitpeopleformentalhealth treatmentagainsttheirwill.
ni ni 3j ni 3j
B) Makingitmoredifficulttocommit peopleformentalhealthtreatment againsttheir
ni ni ni ni ni ni 3j
will. 3j
C) Statementalinstitutionsbeingtheprimarysource ofcareformentallyillpersons. ni 3j
D) Improvedcareformentallyillpersons. ni
Ans: B
3j 3j
Feedback:
, lOMoAR 3jni3jc
3jPSD|
3 j 117
00591
Commitmentlawschangedintheearly1970s,making itmoredifficulttocommitpeoplefor ni 3 j
3 mentalhealthtreatment against theirwill.Deinstitutionalizationaccomplished therelease
j ni ni 3j ni
ofindividualsfromlong-termstaysinstateinstitutions.Deinstitutionalizationalsohad
3j 3j
negativeeffectsinthatsomementallyillpersonsaresubjectedtotherevolvingdooreffect,
3j ni ni 3 j
3 whichmaylimitcareformentallyillpersons.
j ni
9. Thegoalofthe1963 CommunityMentalHealthCentersActwasto 3 j 3j
A) ensurepatients'rightsfor thementallyill. 3 j
B) deinstitutionalizestatehospitals.
C) providefundstobuild hospitalswithpsychiatricunits. ni ni
D) treatpeoplewithmentalillnessin ahumanefashion. ni ni ni ni ni
Ans: B
3j 3j
Feedback:
The1963CommunityMentalHealth CentersActintimatedthemovementtoward treating
3j 3j 3j ni ni
thosewithmentalillnessinalessrestrictiveenvironment.Thislegislationresultedin the
3j 3j ni
shiftofclientswithmentalillnessfromlargestateinstitutionstocarebasedinthe
3j 3 j
3 community.AnswerchoicesA,C, and Dwerenotpurposesofthe1963CommunityMental
j ni ni 3j 3j
HealthCentersAct.
3j 3j
10. Thecreationofasylumsduringthe1800swas meantto 3j ni ni 3j
A) improvetreatment ofmentaldisorders. 3j
B) providefoodandshelterforthementallyill.
C) punishpeoplewithmentalillnesswhowerebelievedtobepossessed. ni
D) removedangerouspeoplewithmentalillnessfromthecommunity. ni ni
Ans: B
3j 3j
Feedback:
Theasylumwasmeanttobeasafehavenwithfood,shelter,andhumanetreatmentforthe ni ni ni
3 mentallyill.Asylumswerenotusedtoimprovetreatmentofmentaldisordersortopunish
j ni 3 j
3 mentallyillpeoplewhowerebelievedtobepossessed.Theasylumwasnotcreatedto
j 3j
3removethedangerouslymentallyillfromthecommunity.
j
11. Themajorproblemswithlargestateinstitutionsare: Select allthatapply. 3j ni 3j
A) attendantswereaccusedofabusingthe residents. ni ni 3j
B) stigmaassociatedwithresidenceinaninsaneasylum. ni
C) clientsweregeographicallyisolated fromfamilyand community.
ni 3j 3 j ni
D) increasingfinancialcoststoindividualresidents. ni ni ni
Ans: A,C
3j 3j
Feedback:
Clientswereoftenfarremovedfromthelocalcommunity,family,andfriendsbecausestate ni ni 3j ni 3j
institutionswereusuallyinruralorremotesettings.ChoicesBandDwerenotmajor
3j 3j
3problemsassociatedwithlargestateinstructions.
j ni
12. Asignificantchangeinthetreatmentofpeoplewithmentalillnessoccurredinthe1950swhen ni ni
A) communitysupport serviceswereestablished. 3j
B) legislationdramaticallychanged civilcommitmentprocedures. ni ni 3j
C) thePatient'sBillofRightswasenacted. ni 3j ni
D) psychotropicdrugsbecameavailableforuse. ni ni
Ans: D
3j 3j
Feedback:
Thedevelopmentofpsychotropicdrugs,ordrugsusedtotreatmentalillness,beganin the ni ni
3 1950s.AnswerchoicesA,B,andCdidnotoccurinthe1950s.
j 3j 3j ni 3j
13. Beforethe periodoftheenlightenment,treatmentofthementallyillincluded
ni 3 j ni
3jPSD|
3 j 117
00591
TEST BANK FOR 3 j 3 j
Psychiatric–MentalHealthNursing9thEditionbySheilaL.
Videbeck
3j
AllChapters(1-24)
TableOfContents
UNIT 1 Current Theories and Practice
3 j 3 j 3 j 3 j 3 j
Chapter 1. Foundations of Psychiatric–Mental Health Nursing
3 j 3 j 3 j 3 j 3 j 3 j
Chapter 2. Neurobiologic Theories and Psychopharmacology
3 j 3 j 3 j 3 j 3 j 3 j
Chapter 3. Psychosocial Theories and Therapy
3j 3 j 3 j 3 j 3 j 3 j
Chapter 4. Treatment Settings and Therapeutic 3 j 3 j 3 j 3 j 3 j
ProgramsUNIT 2 Building the Nurse–Client
3j 3j 3 j 3 j 3 j 3 j
Relationship Chapter 5. Therapeutic Relationships
3j 3 j 3 j 3 j
Chapter 6. Therapeutic Communication
3j 3 j 3 j 3 j
Chapter 7. Client’s Response to 3 j 3 j 3 j 3 j
Illness Chapter8.Assessment
3 j 3j 3j
UNIT 3 Current Social and Emotional Concerns
3 j 3 j 3 j 3 j 3 j 3 j
Chapter9.LegalandEthicalIssues 3j 3j 3j
Chapter10.GriefandLoss
3j 3j
Chapter11.Anger,Hostility,and Aggression Chapter 3j 3j 3j ni 3j
12. Abuse and Violence
3 j 3 j 3 j 3 j
UNIT 4 Nursing Practice for Psychiatric
3 j 3 j 3 j 3 j 3 j
Disorders Chapter 13. Trauma and Stressor-
3 j 3 j 3 j 3 j 3 j 3 j
Related Disorders Chapter 14. Anxiety and 3 j 3j 3 j 3 j 3 j
3Anxiety Disorders
j 3 j
Chapter 15. Obsessive–Compulsive and Related Disorders
3 j 3 j 3 j 3 j 3 j
Chapter16.Schizophrenia
3j 3j
Chapter17.Mood Disordersand Suicide ni 3j
Chapter 18. Personality Disorders
3j 3j 3j 3j
Chapter19.Addiction
3j 3j
Chapter 20. Eating Disorders 3j 3j 3j
Chapter21.SomaticSymptom Illnesses
3j 3j ni
Chapter22.NeurodevelopmentalDisorders 3j 3j
Chapter23.DisruptiveBehaviorDisorders
3j 3j
Chapter 24. Cognitive Disorders
3j 3 j 3 j 3 j
Chapter1
1. Thenurseisassessingthefactorscontributingtothewell-beingofanewlyadmittedclient. 3 j
Whichofthefollowingwouldthenurseidentifyashaving apositiveimpactonthe
3 j ni ni ni ni 3j
individual'smentalhealth? 3j
A) Notneedingothersforcompanionship ni
B) Theabilitytoeffectivelymanagestress ni
C) Afamilyhistoryofmentalillness
D) Strivingfortotalself- ni
reliance Ans: B 3j 3j
Feedback:
Individualfactorsinfluencingmentalhealthincludebiologicmakeup,autonomy, 3j
independence,self-esteem,capacityforgrowth,vitality,abilitytofindmeaninginlife,
3j 3j 3j
emotionalresilienceorhardiness,senseofbelonging,realityorientation,and copingorstress
3j 3j 3j ni
managementabilities.Interpersonalfactors such as intimacyandabalanceofseparatenessand
3j 3j ni ni ni ni ni
connectednessarebothneededforgoodmentalhealth,andthereforea
3j ni ni ni
, lOMoAR 3jni3jc
3jPSD|
3 j 117
00591
healthypersonwouldneedothersforcompanionship.Afamilyhistoryofmentalillnesscould
ni ni ni
3 relatetothebiologicmakeupofanindividual,whichmayhaveanegativeimpactonan
j 3j
3individual'smentalhealth,aswellasanegativeimpactonanindividual'sinterpersonaland
j 3 j
3 socialñculturalfactorsofhealth.Totalself-relianceisnotpossible,andapositive
j 3j
social/culturalfactorisaccesstoadequateresources.
3j
2. Whichofthefollowingstatementsabout mentalillnessaretrue? Select allthat apply. ni ni 3j 3 j ni ni
A) Mentalillnesscancausesignificantdistress,impairedfunctioning,orboth. ni
B) Mentalillnessisonlyduetosocial/cultural factors. 3j
C) Social/culturalfactorsthatrelatetomentalillnessincludeexcessivedependencyon ni
orwithdrawalfromrelationships.
3 j ni
D) Individualssufferingfrommentalillnessareusuallyabletocopeeffectivelywith daily ni ni
life. 3 j
E) Individualssufferingfrommentalillnessmayexperiencedissatisfactionwith ni ni ni
relationshipsandself.
3j
Ans:A,D,E 3j 3j
Feedback:
Mentalillnesscancausesignificantdistress, impairedfunctioning,orboth.Mentalillness 3j 3j
mayberelatedtoindividual,interpersonal,orsocial/culturalfactors.Excessivedependency
3j 3j 3j 3j
onorwithdrawalfromrelationshipsareinterpersonalfactorsthatrelatetomentalillness.
3j
Individualssuffering frommentalillnesscanfeeloverwhelmed withdailylife.Individuals ni ni 3j
sufferingfrommentalillnessmayexperiencedissatisfactionwith relationshipsand self.
3j ni ni ni ni ni
3. Whichofthefollowingaretrueregardingmentalhealthand mentalillness?
ni 3j ni ni 3j ni
A) Behaviorthatmaybeviewedasacceptableinonecultureisalwaysunacceptablein ni ni ni
othercultures. 3 j
B) Itis easytodetermineifapersonismentallyhealthyormentallyill.
ni 3 j ni
C) Inmost cases,mentalhealthisastateofemotional,psychological,and social
ni 3j 3j 3j ni
wellnessevidencedbysatisfyinginterpersonalrelationships,effectivebehavior
3j ni ni ni ni
and coping,positiveself-concept,andemotionalstability.
3j ni 3j 3j
D) Personswhoengageinfantasiesarementallyill. ni
Ans: C
3j 3j
Feedback:
Whatonesocietymayviewasacceptableandappropriatebehavior,anothersocietymaysee
3 thatasmaladaptive,andinappropriate.Mentalhealth andmentalillnessaredifficulttodefine
j 3j 3j ni
precisely.In mostcases,mentalhealthisastateofemotional,psychological,andsocial
3j 3j ni 3j 3j
wellnessevidencedbysatisfyinginterpersonalrelationships,effectivebehaviorandcoping,
3j ni 3 j
3positiveself-concept,andemotionalstability.Personswhoengagein fantasiesmaybe
j 3j 3j ni
mentallyhealthy,buttheinabilitytodistinguish realityfromfantasyisanindividualfactor
3j 3j ni
thatmaycontributetomentalillness.
3j
4. Aclientgrievingtherecentlossofherhusbandasksifsheisbecomingmentallyill ni 3 j
3becausesheissosad.Thenurse'sbestresponsewouldbe,
j 3j
A) ìYoumayhaveatemporarymentalillnessbecauseyouareexperiencingsomuchpain.î ni ni
B) ìYouarenotmentallyill.Thisisanexpectedreactiontothelossyou have ni 3j ni
experienced.î 3j
C) ìWereyougenerallydissatisfiedwithyourrelationshipbeforeyourhusband's ni
death?î 3j
D) ìTrynottoworryabout that right now.Youneverknowwhat thefuturebrings.î Ans: B
ni ni ni ni ni 3 j 3 j
Feedback:
Mentalillnessincludesgeneraldissatisfactionwith self,ineffectiverelationships,ineffective ni 3j 3j
coping,andlackofpersonalgrowth.Additionallythebehaviormust notbe
3j ni 3j ni ni
, lOMoAR 3jni3jc
3jPSD|
3 j 117
00591
culturallyexpected. Acutegriefreactionsareexpectedand thereforenotconsideredmental 3j ni
illness.Falsereassurance oroveranalysisdoesnotaccuratelyaddresstheclient's concerns.
3j ni ni ni
5. ThenurseconsultstheDSMforwhichofthefollowingpurposes? 3j
A) Todeviseaplanofcareforanewlyadmittedclient ni
B) Topredicttheclient'sprognosisof treatmentoutcomes ni ni
C) Todocumenttheappropriatediagnosticcodeintheclient'smedicalrecord
D) Toserveasaguideforclientassessment ni
Ans: D
3j 3j
Feedback:
The DSMprovidesstandardnomenclature,presentsdefiningcharacteristics, andidentifies
3j 3j
underlyingcausesofmentaldisorders. Itdoesnotprovidecareplansorprognosticoutcomes
3j 3j
oftreatment.DiagnosisofmentalillnessisnotwithinthegeneralistRN'sscopeofpractice,so
3j ni
documentingthecodeinthemedicalrecordwouldbeinappropriate.
3j ni ni ni ni ni 3j
6. Whichwouldbeareasonfora studentnurseto usetheDSM? ni 3j ni 3j 3j
A) Identifyingthemedicaldiagnosis ni
B) Treatclients ni
C) Evaluatetreatments
D) Understandthereasonfortheadmissionandthenatureofpsychiatricillnesses.Ans: ni ni 3j
3D j
Feedback:
Althoughstudentnursesdonot usetheDSMtodiagnoseclients,theywillfind ita helpful ni 3j 3j 3j ni ni
resourcetounderstandthereasonfortheadmissionandtobeginbuildingknowledgeabout
3j 3 j
3 thenatureofpsychiatricillnesses.Identifyingthemedicaldiagnosis,treating,and evaluating
j ni ni 3j ni ni 3j 3j ni
treatmentsarenotapartofthenursingprocess.
3j
7. Thelegislationenactedin1963waslargelyresponsibleforwhichofthefollowingshiftsin care ni ni ni ni 3 j
forthementallyill?
3 j
A) Thewidespreaduseofcommunity-basedservices
ni 3j
B) Theadvancementinpharmacotherapies
ni 3j
C) Increasedaccesstohospitalization ni ni
D) Improvedrightsforclientsinlong-terminstitutionalcare ni ni
Ans: A
3j 3j
Feedback:
TheCommunityMentalHealthCentersConstructionActof1963accomplishedtherelease
ni 3j ni ni ni 3j
ofindividualsfromlong-termstaysinstateinstitutions,thedecreasein admissionsto
3j 3j ni
hospitals,andthedevelopmentofcommunity-basedservicesasanalternativetohospital
3j 3j
care.
3j
8. Whichoneofthefollowingisaresult offederallegislation? ni ni 3j
A) Makingit easiertocommitpeopleformentalhealth treatmentagainsttheirwill.
ni ni 3j ni 3j
B) Makingitmoredifficulttocommit peopleformentalhealthtreatment againsttheir
ni ni ni ni ni ni 3j
will. 3j
C) Statementalinstitutionsbeingtheprimarysource ofcareformentallyillpersons. ni 3j
D) Improvedcareformentallyillpersons. ni
Ans: B
3j 3j
Feedback:
, lOMoAR 3jni3jc
3jPSD|
3 j 117
00591
Commitmentlawschangedintheearly1970s,making itmoredifficulttocommitpeoplefor ni 3 j
3 mentalhealthtreatment against theirwill.Deinstitutionalizationaccomplished therelease
j ni ni 3j ni
ofindividualsfromlong-termstaysinstateinstitutions.Deinstitutionalizationalsohad
3j 3j
negativeeffectsinthatsomementallyillpersonsaresubjectedtotherevolvingdooreffect,
3j ni ni 3 j
3 whichmaylimitcareformentallyillpersons.
j ni
9. Thegoalofthe1963 CommunityMentalHealthCentersActwasto 3 j 3j
A) ensurepatients'rightsfor thementallyill. 3 j
B) deinstitutionalizestatehospitals.
C) providefundstobuild hospitalswithpsychiatricunits. ni ni
D) treatpeoplewithmentalillnessin ahumanefashion. ni ni ni ni ni
Ans: B
3j 3j
Feedback:
The1963CommunityMentalHealth CentersActintimatedthemovementtoward treating
3j 3j 3j ni ni
thosewithmentalillnessinalessrestrictiveenvironment.Thislegislationresultedin the
3j 3j ni
shiftofclientswithmentalillnessfromlargestateinstitutionstocarebasedinthe
3j 3 j
3 community.AnswerchoicesA,C, and Dwerenotpurposesofthe1963CommunityMental
j ni ni 3j 3j
HealthCentersAct.
3j 3j
10. Thecreationofasylumsduringthe1800swas meantto 3j ni ni 3j
A) improvetreatment ofmentaldisorders. 3j
B) providefoodandshelterforthementallyill.
C) punishpeoplewithmentalillnesswhowerebelievedtobepossessed. ni
D) removedangerouspeoplewithmentalillnessfromthecommunity. ni ni
Ans: B
3j 3j
Feedback:
Theasylumwasmeanttobeasafehavenwithfood,shelter,andhumanetreatmentforthe ni ni ni
3 mentallyill.Asylumswerenotusedtoimprovetreatmentofmentaldisordersortopunish
j ni 3 j
3 mentallyillpeoplewhowerebelievedtobepossessed.Theasylumwasnotcreatedto
j 3j
3removethedangerouslymentallyillfromthecommunity.
j
11. Themajorproblemswithlargestateinstitutionsare: Select allthatapply. 3j ni 3j
A) attendantswereaccusedofabusingthe residents. ni ni 3j
B) stigmaassociatedwithresidenceinaninsaneasylum. ni
C) clientsweregeographicallyisolated fromfamilyand community.
ni 3j 3 j ni
D) increasingfinancialcoststoindividualresidents. ni ni ni
Ans: A,C
3j 3j
Feedback:
Clientswereoftenfarremovedfromthelocalcommunity,family,andfriendsbecausestate ni ni 3j ni 3j
institutionswereusuallyinruralorremotesettings.ChoicesBandDwerenotmajor
3j 3j
3problemsassociatedwithlargestateinstructions.
j ni
12. Asignificantchangeinthetreatmentofpeoplewithmentalillnessoccurredinthe1950swhen ni ni
A) communitysupport serviceswereestablished. 3j
B) legislationdramaticallychanged civilcommitmentprocedures. ni ni 3j
C) thePatient'sBillofRightswasenacted. ni 3j ni
D) psychotropicdrugsbecameavailableforuse. ni ni
Ans: D
3j 3j
Feedback:
Thedevelopmentofpsychotropicdrugs,ordrugsusedtotreatmentalillness,beganin the ni ni
3 1950s.AnswerchoicesA,B,andCdidnotoccurinthe1950s.
j 3j 3j ni 3j
13. Beforethe periodoftheenlightenment,treatmentofthementallyillincluded
ni 3 j ni
