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Care 8th Edition By Michelle Morrison Latest
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Update.
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|complete studyGuide |Grade A+.
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Chapter01:TheHistoryofMentalCare
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1. ThebeliefoftheancientGreekphilosopherPlatothat therationalsoulcontrolled the
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irrational soul could be compared with thebelief ofthe more recent psychological
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theorist:
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a. Freud
b. Pinel
c. Fisher
d. Rush
ANS:A 3j
Sigmund Freud believed that mental illness was, in part, caused by forces both within and
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outside the personality. Philippe Pinel advocated acceptance of mentally ill individuals as
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human beings in need of medical assistance. Alice Fisher was a Florence Nightingale nurse who
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cared for the mentally ill, and Dr. Benjamin Rush was the author of the book Diseases ofthe
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Mind.
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PTS: 1DIF: Cognitive Level: Comprehension REF:p. 3j 3j j
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4OBJ:
3j 2 TOP: Early Years of Mental Health 3j 3j 3j 3j 3j
KEY: NursingProcessStep:Assessment MSC:ClientNeeds:Psychosocial Integrity j
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2. During the mid-1500s, behaviors associated with mental illness were more
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accurately recorded byprofessionals. This practice led to
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abnormalbehaviors.
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a. Classifications
b. Diagnosing
c. Treatment
d. Education
ANS:A 3j
Classification of abnormal behaviors did not begin until this time, after the practice of 3j 3j 3j 3j 3j 3j 3j 3j 3j 3j 3j 3j 3j
moreaccuraterecordingofbehaviors wasbegun.Diagnoses,treatmentguidelines,andany
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education regarding mental health disorders were not available during this period.
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PTS: 1DIF: Cognitive Level: Knowledge REF:p. 3j 3j j
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5OBJ:
3j 3 TOP: Mental Illness During the Renaissance 3j 3j 3j 3j 3j
KEY: NursingProcessStep:Assessment MSC:ClientNeeds:Psychosocial Integrity j
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3. Duringthelatterpartoftheeighteenth century,psychiatrybecameaseparatebranch of
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medicine,and inhumane treatment was greatlydiminished bythe Frenchhospital
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director:
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a. Dix
b. Beers
, c. Pinel
d. Carter
ANS:C 3j
PhilippePinel advocated acceptance ofthe mentallyill, as well as propertreatment. DorotheaDix
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crusaded forconstructionofmentalhealthhospitals.Clifford Beerswrotethe book A Mind That
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Found Itself. President Jimmy Carter established the President’s Commission on Mental Health
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in 1978.
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PTS: 1 DIF: Cognitive Level: Knowledge REF:p. 3j 3j j
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5OBJ: 43j TOP: Mental Illness in the Eighteenth Century 3j 3j 3j 3j 3j 3j
KEY: NursingProcessStep: Assessment MSC: ClientNeeds:Psychosocial Integrity j
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4. In 1841, 3j surveyed asylums, jails, and almshouses throughout the United 3j 3j 3j 3j 3j 3j 3j
States,Canada,andScotlandandiscredited withbringingaboutpublicawareness and
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reformfor the care of the mentally ill.
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a. SigmundFreud 3j
b. JohnCade j
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c. FlorenceNightingale 3j
d. DorotheaDix j
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ANS:D 3j
Dorothea Dix spent 20 years surveying facilities that housed mentallyill individuals and
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iscreditedwith major changesinthe careofthementallyill.SigmundFreudintroduced the
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concept of psychoanalysis, John Cade discovered lithium carbonate for the treatment of
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bipolar disorder, and Florence Nightingale trained nurses in England in the 1800s.
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PTS: 1 DIF: Cognitive Level: Knowledge REF:p. 3j 3j j
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6OBJ: 43j TOP: Mental Illness in the Nineteenth Century 3j 3j 3j 3j 3j 3j
KEY: NursingProcessStep: Assessment MSC: ClientNeeds:Psychosocial Integrity j
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5. AsatdirectresultofClifford N
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r s’ Iwor Gk anBd.btoCotkt,MAMindThatFoundItself,ttheCommitteefor
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MentalHygienewasformedin1909 with afocusonpreventionofmentalillnessand:
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a. Earlydetectionofsymptoms ofmental illness j
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b. Educationof caregivers 3j
c. Current treatment options 3j 3j
d. Removingthestigmaattached tomental illness j
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ANS:D 3j
Clifford Beers’ book reflected on his attempt at suicide followed by the deplorable care he
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received for the next 3 years in mental hospitals. Beers’ work and book raised the consciousness
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of people throughout the countryregarding prevention and removal of the stigma of having a
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mental illness. Earlydetection of symptoms, education of caregivers, andcurrent treatment
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options regarding mental illness were not thefocus of hisbook, nor were they a priority for the
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Committee for Mental Hygiene.
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PTS: 1 DIF: Cognitive Level: Knowledge REF:p. 3j 3j j
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6OBJ: 43j TOP: Mental Illness in the Twentieth Century 3j 3j 3j 3j 3j 3j
KEY: NursingProcess Step: Assessment MSC: ClientNeeds:Psychosocial Integrity j
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6. Duringthe1930s,whatcommontreatment forschizophreniacausedclients tofallinto a
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comathat could last as long as 50 hours?
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a. Electroconvulsive therapy 3 j
b. Insulintherapy 3j
c. Humoraltherapy j
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, d. Amphetaminetherapy
ANS:B 3j
Insulin therapy was believed to successfully treat schizophrenia in the early 1900s.
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Amphetamineswereused totreatdepression,andelectroconvulsivetherapywasused
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forseveredepression. Humoral therapy, which originated in ancient Greece and Rome, was
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abelief that mental illness resulted from an imbalance of the humors of air, fire, water,
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andearth.
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PTS: 1 DIF: Cognitive Level: Knowledge REF:p. 3j 3j j
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8OBJ:3j 5 TOP: InfluencesofWaronMental HealthTherapies 3 j 3j j
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KEY: NursingProcess Step: Assessment MSC: ClientNeeds:Psychosocial Integrity j
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7. Inthe1930s,whatmentalhealthdisorderwaselectroconvulsivetherapy(ECT)
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a. Schizophrenia
b. Bipolardisorder 3j
c. Severedepression
d. Violentbehavior 3j
ANS:C 3j
ECT was found to be an effective treatment for severe depression in the 1930s. During this
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period, schizophrenia was treated with insulin therapy, and violent behavior was treated with
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alobotomy. In 1949, lithium carbonate was discovered as a treatment for bipolar disorder.
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PTS: 1 DIF: Cognitive Level: Knowledge REF:p. 3j 3j j
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6OBJ:3j 5 TOP: Influences ofWaronMental HealthTherapies 3 j 3j j
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KEY: NursingtProcesstStep:AN
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USNT O
8. Intheearlytwentieth century,afrontallobotomywasacommontreatment forviolent
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behaviors.Which description ofthis procedure is accurate?
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a. Aprocedurethatdelivers anelectricalstimulustothefrontallobesofthebrain j
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b. Asurgicalprocedurethat drills holesinthefrontoftheskulltodrainfluid
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c. Atsurgicalprocedurethat severs thefrontallobesofthebrain fromthethalamus j
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d. Asurgicalprocedurethat insertsimplants intothefrontallobes ofthebrain j
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ANS:C 3j
Afrontallobotomyisasurgicalprocedureinwhichthefrontal lobesofthebrain are severedfrom
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the thalamus.
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PTS: 1 DIF: Cognitive Level: Knowledge REF:p. 3j 3j j
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6OBJ:3j 5 TOP: InfluencesofWaronMental HealthTherapies 3 j j
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9. Whichclassofdrugswas introducedinthe1930sforthetreatment ofdepression?
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a. SSRIs
b. Tricyclicantidepressants
c. MAOIs
d. Amphetamines
ANS:D 3j