Deck 36: Mental Health Issues

Question 1

A nurse working in a psychiatric institution during the hospital expansion era would have most likely worked in which location?

A) Near small communities with access to families and activities
B) In rural areas removed from family and social activities
C) Near urban areas with access to families and low-paying jobs
D) In urban areas without access to families and jobs

Answer 1

In rural areas removed from family and social activities

Question 2

A nurse categorizes mental illness as a biopsychosocial disorder.What is meant by this classification?

A) Mental illness is an abnormal brain vasculature that can be detected with angiography.
B) Antipsychotic drugs can be used for all types of mental illness.
C) Experience and psychosocial factors affect the etiology and treatment of mental illness.
D) Mental illness can be cured with the right drugs and therapy.

Answer 2

Experience and psychosocial factors affect the etiology and treatment of mental illness.

Question 3

A nurse considers the effects of biology and environment,or nature and nurture,on the development of mental illness when providing care for clients with mental illness.Which nursing model/theory is being applied?

A) Community mental health model
B) Holistic model
C) Systems theory
D) Diathesis-stress model

Answer 3

Diathesis-stress model

Question 4

Why must a nurse have specialized knowledge and skills in mental health illness and problems in order to provide effective nursing care for this population?

A) Services for people with mental disorders are inadequate.
B) The effects of mental health are universal.
C) Mental health disorders affect small sectors of the population.
D) Current health objectives cannot be met without the influence of nursing.

Question 5

Which factor has influenced the advancement in the treatment of mental illness?

A) The movement of clients out of mental institutions to the community
B) A better understanding of the neurobiology of mental illness
C) More interest in helping persons with mental illness
D) A change in the culture about what constitutes mental illness

Question 6

The first major piece of legislation to influence mental health services in the United States was the:

A) National Mental Health Act
B) Mental Health Study Act
C) Social Security Act
D) Protection and Advocacy for Mentally Ill Individuals Act

Question 7

A client who was deinstitutionalized during the 1960s may have experienced difficulties living in the community because of:

A) Insufficient community mental health services
B) Difficulties connecting with community resources
C) Lack of affordable housing
D) Increased cost of care

Question 8

Who led reform efforts to correct types of inhumane practices in the care of criminals,those with mental disorders,and victims of the Civil War?

A) Dorothea Dix
B) Philippe Pinel
C) Benjamin Rush
D) Clifford Beers

Question 9

An individual living during which era would have viewed physical and mental illness as interrelated,resulting from physical conditions?

A) Ancient times
B) Middle Ages
C) Colonial
D) Greco-Roman

Question 10

Approximately what percentage of the adult population (ages 18 and older)suffers from a mental disorder in a given year in the United States?

A) 6
B) 14
C) 26
D) 30

Question 11

According to the National Institutes of Mental Health (NIMH),which is the leading cause of disability among adults?

A) Schizophrenia
B) Major depression
C) Obsessive-compulsive disorder
D) Anxiety

Question 12

A nurse is working with a client who is concerned about discrimination in the workplace based on a current mental health diagnosis.Which legislation has prohibited discrimination for persons with mental disorders?

A) National Mental Health Act
B) American with Disabilities Act
C) Developmental Disabilities Act
D) Protection and Advocacy for Mentally Ill Individuals Act

Question 13

An example of primary prevention concerning mental health is:

A) Group psychotherapy
B) Stress reduction education
C) Case management
D) Monitoring illness symptoms

Question 14

Many clients with mental disorders were institutionalized because:

A) There was a continued fear of people with mental disorders.
B) The success rate was higher with hospital treatment.
C) It was easier to stabilize clients with psychotropic medications.
D) It provided a less stressful environment for clients to recuperate.

Question 15

The nurse working in the role of educator with groups of clients may:

A) Care for clients in acute care settings.
B) Coordinate activities with staff members in community settings.
C) Use learning principles to increase understanding about mental illness.
D) Act as an advocate for mental health support groups.

Question 16

A client who has been diagnosed with major depression works with other mental health consumers to advocate for establishment of additional self-help services for individuals and families with mental illness in a community.This client is likely involved with which organization?

A) Community Support Program (CSP)
B) National Institute of Mental Health (NIMH)
C) Mental Health Study
D) National Alliance for the Mentally Ill (NAMI)

Question 17

A nurse is counseling a client following an unexpected loss.If given adequate support and adaptation,the client will most likely:

A) Recover from the crisis and become mentally ill
B) Avoid the loss and potential mental illness
C) Be able to ignore the grief
D) Resume previous lifestyle in spite of sadness

Question 18

An employee of the National Institute for Mental Health would most likely be involved in the:

A) Expansion of psychiatric units in general hospitals
B) Development of education programs for community mental health treatment
C) Legislation and advocacy for the rights of people with mental disorders
D) Deinstitutionalization of patients

Question 19

Which role would be most appropriate for an undergraduate-level prepared nurse working with a mental health population?

A) Prescribe medications and have hospital admission privileges.
B) Work as a case manager for large groups of persons with mental illness.
C) Assess clients in acute psychiatric hospital settings.
D) Provide basic primary, secondary, and tertiary services.

Question 20

An example of tertiary prevention concerning mental health is:

A) Screening for anxiety
B) Depression education
C) Counseling following a natural disaster
D) Coordination transition from the hospital to the community

Question 21

Which intervention would a nurse most likely use when implementing relapse management?

A) Use a holistic view of the system.
B) Identify triggers.
C) Understand the individual's personality.
D) Provide crisis intervention.

Question 22

When a nurse is involved with a group who advocates for improved and effective psychiatric services and consumer empowerment,the nurse is working with the:

A) National Alliance for Mentally Ill ( NAMI ) Consumer Council
B) National Mental Health Consumer's Association ( NMHCA )
C) National Association of Psychiatric Survivors ( NAPS )
D) Consumer/Survivor Mental Health Research and Policy Work Group

Question 23

Which intervention is most appropriate for a nurse to implement when working with older adults and their caregivers?

A) Work with legislators to advocate for policies which support families.
B) Refer clients and families to community support groups to reduce stress.
C) Involve clients and families in case management programs to coordinate care.
D) Conduct depression screenings with clients and families on a regular basis.

Question 24

A nurse is using Healthy People 2020 as a guide to develop community programming for mental health.Which objectives for mental health would be found in this document? Select all that apply.

A) Reduce suicide rates.
B) Increase employment of persons with severe mental illness.
C) Increase the proportion of children treated for mental health problems.
D) Decrease the number of juvenile facilities that screen new admissions for mental health problems.

Question 25

When providing care to an African American population in the community,which would be the most appropriate intervention for the nurse to implement?

A) Build on the cultural traditions of the community.
B) Develop a support system in a nearby community.
C) Integrate mental health services into primary care settings.
D) Focus on migrant health issues.

Question 26

According to the Surgeon General's report,how can people receive assistance for mental health problems? Select all that apply.

A) Specialty mental health systems
B) General medical or primary care sectors
C) Human service sectors
D) Voluntary support networks
E) None of above

Question 27

A nurse who is working with persons with serious mental illness should recognize that:

A) Persons with severe mental illness require institutionalization until they are functional.
B) Inadequate community resources have caused problems with homelessness among this population.
C) Serious mental illness originates from childhood events and therapy is ineffective.
D) Motivation influences a person's ability to earn a living and purchase necessary medications.

Question 28

A nurse is referring a client with a mental illness to a community group for additional information and support.Where would the nurse most likely refer a client? Select all that apply.

A) Alcoholics Anonymous
B) Obsessive-Compulsive Foundation
C) Schizophrenics Anonymous
D) Anxiety Disorders Association of America
E) None of above