Unit 1: mental health care in contemporary society

Question 1

What was the initial focus of community healthcare centers?

Answer 1

Alcoholism and addiction

Question 2

What was the belief about mental illness during the later medieval era (1000 to 1300)?

Answer 2

It was I was by contaminated environments.

Question 3

The hill– Burton act provided which type of federal support for healthcare?

Answer 3

Hospital construction

Question 4

In mental-health nursing, the most relevant evidence is ideally from which source?

Answer 4

Research

Question 5

Who was the first trained nurse in the United States?

Answer 5

Linda Richards

Question 6

According to Freud, in which phase does the toddler develop a sense of autonomy through withholding?

Answer 6

The anal phase

Question 7

Which of the following is inconsistent with an evidence-based approach:

a) Application of research findings
b) Nurse centered decision-making?
c) Outcomes are evaluated
d) Clinical questions are defined?

Answer 7

b) the nurse should collaborate with the patient

Question 8

Which piece of legislation puts consumers of mental health back in charge of their care?

Answer 8

The patient protection and affordable care act of 2010

Question 9

Which act prevents insurance companies from excluding people because of pre-existing conditions?

Answer 9

The patient protection and affordable care act of 2010

Question 10

What’s was the premise underlying the 1963 mental retardation facilities in community mental health care centers construction act?

Answer 10

Institutionalization was viewed as into contributing to illness

Question 11

During the moral treatment., which environment for patients routinely placed into?

Answer 11

Asylums

Question 12

What were the contributions of Hildagarde Peplau?

Answer 12

1) conceptualized nursing practice as independent of physicians
2) published the landmark work interpersonal relations in nursing
3) developed the first graduate nursing program in psychiatric nursing

Question 13

According to the WHO, By 2030, which mental illness is projected to be the leading burden of disease worldwide?

a) substance use
b) schizophrenia
c) anxiety
d) depression

Answer 13

d) Depression

Question 14

Choose three entitlements of self-determination.

a) right to obtain other opinions
b) right to refuse treatment
c) right to participate in experimentation without informed consent
d) right to refuse treatment during an emergency situation
e) right to choose other forms of treatment

Answer 14

1) right to obtain other opinions
2) right to refuse treatment
3) right to choose other forms of treatment

Question 15

What is the single most important goal for individuals with mental disorders?

a) empowerment
b) recovery
c) stabilization
d) self-direction

Answer 15

Recovery

Question 16

Which group in United States who are diagnosed with mental illness suffer from the stresses of a double stigma?

Answer 16

African-Americans

Question 17

A patient diagnosed with schizophrenia is being assessed using the DSM IV TR criteria. It has been determined that the patient has a global assessment of functioning GAF score of 46. This score is associated with which of the following descriptions?

a) persistent danger of severely hurting self
b) absent of minimal symptoms; good functioning in all areas
c) serious symptoms or serious impairment in social, occupational, or school functioning
d) superior functioning; no symptoms

Answer 17

c) serious symptoms or serious impairment in social, occupational, or school functioning

Question 18

A patient diagnosed with anxiety disorient diabetes mellitus is being seen in the outpatient mental health clinic. When using the DSM IV TR, diabetes and be listed under which axis?

Answer 18

Axis III

Question 19

Which service aims to achieve patient stabilization without hospitalization or a reduced length of inpatient care?

a) respite residential care
b) 23 hour observation
c) partial hospitalization
d) residential services

Answer 19

Partial hospitalization

Question 20

Which of the following individuals would be more than likely to be placed an outpatient detoxification?

a) individuals with severe withdrawal
b) individuals with a history of seizure disorder
c) individuals who are pregnant
d) individuals with alcohol dependence

Answer 20

d) individuals with alcohol dependence

Question 21

Alcoholics Anonymous (AA) and narcotic anonymous (NA) are examples of which type of service?

a) relapse prevention aftercare programs
b) self-help group
c) supported employment
d) technology-based care

Answer 21

b) self-help group

Question 22

For which type of rehabilitation program is the primary focus to maintain attachment between a mentally ill person and the workforce?

a) technology-based care
b) supported employment
c) relapse prevention aftercare programs
d) self-help groups

Answer 22

b) supported employment

Question 23

Which of the following is an accurate statement regarding an advance directive?

a) it needs to be written by an attorney
b) it applies to those who can make their own decisions
c) it needs to be signed by an attorney
d) it needs a witnessed by two people and notarized

Answer 23

d) it needs a witnessed by two people and notarized

Question 24

One of the major problems facing individuals with mental illness and their families the stigma. Which of the following is inconsistent with stigmatization?

a) discrimination
b) prejudice
c) misunderstanding
d) approval

Answer 24

d) approval

Question 25

According to the DSM IV TR antisocial personality is placed on which axis?

Answer 25

II

Question 26

In United States, approximately what percentage of people living below the poverty line are single mothers and their children? a) 35% b) 25% c) 45% d) 15%

Answer 26

a) 35%

Question 27

Which of the following groups is most at risk for being unable to escape the spiral of poverty? a) unemployed b) people with physical disabilities c) homeless d) unmarried

Answer 27

c) homeless

Question 28

Which of the following is an accurate statement regarding mental health recovery? a) it is a linear process b) is a step-by-step process c) it focuses on the illness d) it is a growth experience with setbacks

Answer 28

d) it is a growth experience with setbacks

Question 29

Which of the following cultures has a tradition of denying or disguising the existence of mental illness? a) african-American b) Hispanic c) Asian d) native American

Answer 29

c) Asian

Question 30

The fountain house in New York developed the clubhouse model in the 1940s. Which of the following is an important characteristic of a clubhouse? a) members live at the clubhouse b) members are expected to assist with household chores c) membership is time-limited d) the clubhouse is run by staff members

Answer 30

b) members are expected to assist with household chores

Question 31

When he persons with mental health treatment for fear of being labeled mentally ill which of the following signs of stigma is occurring? a) self stigma b) label avoidance c) discrimination d) public stigma

Answer 31

b) label avoidance

Question 32

Which of the following can help prevent negative outcomes of malpractice litigations and psychiatric mental health care? Select all that apply a) adhere to agency policy and procedure b) evaluate risks to patient c) seek consultation and record input d) involve the family in important decisions e) do not document decisions that might prove problematic

Answer 32

a) adhere to agency policy and procedure b) evaluate risks to patient c) seek consultation and record input d) involve the family in important decisions

Question 33

When using the global assessment of functioning score, which is the highest achievable score?

Answer 33

100

Question 34

Which of the following is a Modell it used by the nurse as a case manager? Select all that apply a) physical assessment b) networking c) crisis intervention d) therapeutic use of self e) prescriptive authority

Answer 34

b) networking c) crisis intervention d) therapeutic use of self Also: pharmacology, Physical assessment, psychosocial assessment, psychiatric rehabilitation.

Question 35

Culture bound syndromes of behaviors limited to specific cultures that have meaning within that culture. Which of the following culture bound syndromes tend to occur in the Latino population? a) falling out b) Ataque de nervios c) Mal de ojo d) Brain fag

Answer 35

b) Ataque de nervios

Question 36

Which of the following is accurate regarding assertive community treatment ACT? a) it offers intensive community-based services b) it provides day treatment programs only c) is designed to help those with mental retardation d) it uses a high staff to patient ratio

Answer 36

a) it offers intensive community-based services

Question 37

Which of the following is accurate regarding documenting in the patient record? a) stereotypical entries maybe used b) documentation can include staff biases c) courts consider acts not recorded as acts not done d) documentation can be done in pencil encasing the sickest thing

Answer 37

c) courts consider acts not recorded as acts not done

Question 38

Which of the following groups have the highest suicide rate of women older than age 65 years in the United States? a) native American women b) native Hawaiian women c) african-American women d) asian-American women

Answer 38

d) asian-American women

Question 39

The nurses teaching the family indications Agnes is a mental disorder. Which of the following is an important aspect of a psychiatric advance directive PAD? a) A physician cannot override the declaration b) during period of competency, PADs can be revoked c) it must be signed by the case manager and two witnesses d) it allows family members to make the choice of treatment for incompetent individuals

Answer 39

b) during period of competency, PADs can be revoked