Unit 1: mental health care in contemporary society Flashcards
What was the initial focus of community healthcare centers?
Alcoholism and addiction
What was the belief about mental illness during the later medieval era (1000 to 1300)?
It was I was by contaminated environments.
The hill– Burton act provided which type of federal support for healthcare?
Hospital construction
In mental-health nursing, the most relevant evidence is ideally from which source?
Research
Who was the first trained nurse in the United States?
Linda Richards
According to Freud, in which phase does the toddler develop a sense of autonomy through withholding?
The anal phase
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?
b) the nurse should collaborate with the patient
Which piece of legislation puts consumers of mental health back in charge of their care?
The patient protection and affordable care act of 2010
Which act prevents insurance companies from excluding people because of pre-existing conditions?
The patient protection and affordable care act of 2010
What’s was the premise underlying the 1963 mental retardation facilities in community mental health care centers construction act?
Institutionalization was viewed as into contributing to illness
During the moral treatment., which environment for patients routinely placed into?
Asylums
What were the contributions of Hildagarde Peplau?
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
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
d) Depression
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
1) right to obtain other opinions
2) right to refuse treatment
3) right to choose other forms of treatment
What is the single most important goal for individuals with mental disorders?
a) empowerment
b) recovery
c) stabilization
d) self-direction
Recovery
Which group in United States who are diagnosed with mental illness suffer from the stresses of a double stigma?
African-Americans
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
c) serious symptoms or serious impairment in social, occupational, or school functioning
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?
Axis III
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
Partial hospitalization
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
d) individuals with alcohol dependence
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
b) self-help group
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
b) supported employment
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
d) it needs a witnessed by two people and notarized
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
d) approval
According to the DSM IV TR antisocial personality is placed on which axis?
II
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%
a) 35%
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
c) homeless
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
d) it is a growth experience with setbacks
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
c) Asian
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
b) members are expected to assist with household chores
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
b) label avoidance
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
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
When using the global assessment of functioning score, which is the highest achievable score?
100
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
b) networking
c) crisis intervention
d) therapeutic use of self
Also: pharmacology, Physical assessment, psychosocial assessment, psychiatric rehabilitation.
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
b) Ataque de nervios
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
a) it offers intensive community-based services
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
c) courts consider acts not recorded as acts not done
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
d) asian-American women
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
b) during period of competency, PADs can be revoked
