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Test Bankfor Foundations of Mental Health Care
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8th Edition
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TESTBANK b
,Michelle Morrison-Valfre: Foundations ofMental Health Care 8th Edition
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Chapter 01: The History of Mental Care
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MULTIPLE CHOICE b
1. The belief of the ancient Greek philosopher Plato that the rational soul controlled the irrational
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bsoul could be compared with thebelief of the more recent psychological theorist:
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a. Freud
b. Pinel
c. Fisher
d. Rush
ANS: A b
Sigmund Freud believed that mental illness was, in part, caused by forces both within and outside
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the personality. Philippe Pinel advocated acceptance of mentally ill individuals as human beings
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in need of medical assistance. Alice Fisher was a Florence Nightingale nurse who cared for the
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mentally ill, and Dr. Benjamin Rush was the author of the book Diseases of the Mind.
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PTS: 1 DIF: Cognitive Level: Comprehension
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OBJ: 2
b TOP: Early Years of Mental Health
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KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
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2. During the mid-1500s, behaviors associated with mental illness were more accurately
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recorded by professionals. This practice led to
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behaviors.
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a. Classifications
b. Diagnosing
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c. Treatment
d. Education
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ANS: A b
Classification of abnormal behaviors did not begin until this time,after the practice of more
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accurate recording of behaviors was begun. Diagnoses, treatment guidelines, and any education
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regarding mental health disorders were not available during this period.
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PTS: 1 DIF: Cognitive Level: Knowledge
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OBJ: 3
b TOP: Mental Illness During the Renaissance
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KEY: Nursing Process Step: Assessment
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3. During the latter part of the eighteenth century, psychiatry became a separate branch of
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bmedicine,and inhumane treatment was greatlydiminished bythe French hospital director:
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a. Dix
b. Beers
c. Pinel
d. Carter
ANS: C b
, PhilippePinel advocated acceptance ofthe mentallyill, as well as proper treatment. Dorothea Dix
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crusaded for construction of mental health hospitals. Clifford Beers wrote the 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
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OBJ: 4
b TOP: Mental Illness in the Eighteenth Century
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KEY: Nursing Process Step: Assessment
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4. In 1841,
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States, Canada, and Scotland and is credited with bringing about public awareness and reform for
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the care of the mentally ill.
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a. Sigmund Freud b
b. John Cade b
c. FlorenceNightingale b
d. Dorothea Dix b
ANS: D b
Dorothea Dix spent 20 years surveying facilities that housed mentallyill individuals and is credited
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with major changes in the care of the mentally ill. Sigmund Freud introduced the concept of
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psychoanalysis, John Cade discovered lithium carbonate for the treatment of bipolar disorder,
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and Florence Nightingale trained nurses in England in the 1800s.
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PTS: 1 DIF: Cognitive Level: Knowledge
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OBJ: 4
b TOP: Mental Illness in the Nineteenth Century
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KEY: Nursing Process Step: Assessment
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5. As a direct result of CliffordN
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Mental Hygiene was formed in 1909
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a. Earlydetection of symptoms of mental illness
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b. Education of caregivers b b
c. Current treatment options
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d. Removing the stigma attached to mental illness b b b b b b
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ANS: D b
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 country regarding prevention and removal of the stigma of having a
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mental illness. Earlydetection of symptoms, education of caregivers, and current treatment
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options regarding mental illness were not the focus of his book, 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
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OBJ: 4
b TOP: Mental Illness in the Twentieth Century
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KEY: Nursing Process Step: Assessment
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6. Duringthe 1930s, what common treatment for schizophrenia caused clients to fall into a coma that
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could last as long as 50 hours?
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a. Electroconvulsive therapy b
b. Insulin therapy b
c. Humoral therapy b
, d. Amphetamine therapy b
ANS: B b
Insulin therapy was believed to successfully treat schizophrenia in the early 1900s.
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Amphetamines were used to treat depression, and electroconvulsive therapy was used for severe
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depression. Humoral therapy, which originated in ancient Greece and Rome, was a belief that
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mental illness resulted from an imbalance of the humors of air, fire, water, and earth.
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PTS: 1 DIF: Cognitive Level: Knowledge
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OBJ: 5
b TOP: Influences of War on Mental Health Therapies
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KEY: Nursing Process Step: Assessment
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7. In the 1930s, what mental health disorder was electroconvulsive therapy(ECT) most often used
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bto treat?
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a. Schizophrenia
b. Bipolar disorder b
c. Severedepression b
d. Violent behavior b
ANS: C b
ECT was found to be an effective treatment for severe depression in the 1930s. During this period,
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schizophrenia was treated with insulin therapy, and violent behavior was treated with a lobotomy. In
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1949, lithium carbonate was discovered as a treatment for bipolar disorder.
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PTS: 1 DIF: Cognitive Level: Knowledge
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OBJ: 5
b TOP: Influences of War on Mental Health Therapies
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8. In the earlytwentieth century, a frontal lobotomywas acommon treatment for violent
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bbehaviors. Which description of this procedure is accurate?
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a. Aprocedure that delivers an electrical stimulus to the frontal lobes of the brain
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b. A surgical procedure that drills holes in the front of the skull to drain fluid
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c. Asurgical procedure that severs the frontal lobes of the brain from the thalamus
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d. A surgical procedure that inserts implants into the frontal lobes of the brain
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ANS: C b
A frontal lobotomyis a surgical procedure in which the frontal lobes of the brain are severed from
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the thalamus.
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PTS: 1 DIF: Cognitive Level: Knowledge
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OBJ: 5
b TOP: Influences of War on Mental Health Therapies
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KEY: Nursing Process Step: Assessment
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9. Which class of drugs was introduced in the 1930s for the treatment of depression?
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a. SSRIs
b. Tricyclic antidepressants b
c. MAOIs
ANS: D b