Deck 34: Mental Health Issues

Question 1

Which of the following was the first consumer group to advocate for better mental health services, such as establishing education and self-help services for individuals and families with mental illness?

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

Answer 1

National Alliance for the Mentally Ill (NAMI)

Question 2

The humanitarian reform was influenced in America by:

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

Answer 2

Benjamin Rush

Question 3

The first psychiatric hospital in the United States was built in 1773 in:

A) Boston, Massachusetts
B) Philadelphia, Pennsylvania
C) Williamsburg, Virginia
D) Hartford, Connecticut

Answer 3

Williamsburg, Virginia

Question 4

A myriad of accessible and coordinated services are needed to maintain people in the community with chronic mental illness. Despite inadequate sources, advances have been made in the treatment of mental illness. These advances have been influenced by:

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 5

According to the World Health Organization (WHO), which of the following is the leading cause of disability among adults in developed nations?

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

Question 6

During which era was physical and mental illness seen as interrelated and resulting from physical conditions?

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

Question 7

Mental health problems are manifested in many ways. Untoward incidents or even anticipated life events can diminish physical, cognitive, affective, and social functioning. Given adequate support and adaptation:

A) Most people never recover from crises and become mentally ill.
B) Nurses can prevent losses and mental illness.
C) Grief can be ignored.
D) Most people resume their lifestyles following losses in spite of sadness.

Question 8

An early consumer who advocated the improvement of mental health services was:

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

Question 9

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 10

Cultural beliefs and economics influence the amount and types of mental health services and treatment available in countries. Two universal truths exist. One of these is:

A) Services for people with mental disorders are inadequate.
B) The effects of mental health are universal.
C) Mental health does not affect families in some countries.
D) The United States has the best mental health system.

Question 11

Brief hospital stays and inadequate community resources have resulted in an increased number of persons with serious mental illness. Which of the following is true about this group?

A) Persons with severe mental illness need to be institutionalized until they are functional.
B) Approximately one quarter of the homeless persons in the United States have serious mental illness.
C) Serious mental illness originates from childhood events and therapy is ineffective.
D) If people are motivated, they can earn a living and be able to purchase their needed medications.

Question 12

The role of the community health nurses is varied and includes all levels of nursing education. The undergraduate level-prepared nurse:

A) Prescribes medications and has hospital admission privileges
B) Works as a case managers for large groups of persons with mental illness
C) Works only in acute psychiatric hospital settings
D) Provides basic primary, secondary, and tertiary services

Question 13

Mental illnesses are complex biopsychosocial disorders. Traumatic experiences can change brain biochemistry. This information supports the notion that:

A) An abnormal brain vasculature can be detected with angiography.
B) Antipsychotic drugs can be used for all types of mental illness.
C) Both experience and psychosocial factors have effects on etiology and on treatment of mental illness.
D) Mental illness can be cured with the right drugs.

Question 14

Approximately what percentage of the adult population (18 to 64 years of age) has a mental disorder in the United States?

A) 6
B) 14
C) 22
D) 30

Question 15

The ability to engage in productive activities and fulfilling relationships with other people, to adapt to change, and to cope with adversity is the definition of:

A) Mental illness
B) Mental disorders
C) Mental health
D) Mood disorders

Question 16

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 and mental health
D) Act as an advocate for mental health support groups.

Question 17

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) Stabilizing clients with psychotropic medication was easier when the client was hospitalized.
D) It provided a less stressful environment for clients to recuperate.

Question 18

Which of the following people 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 19

A major objective of the National Institute for Mental Health is the:

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

Question 20

During the hospital expansion era, most psychiatric institutions were located:

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

Question 21

A significant problem related to the deinstitutionalization of the mentally ill is:

A) Insufficient community mental health services
B) An increase in independent living settings with excessive supervision
C) Mentally ill clients of all ages were admitted to nursing homes
D) Increased cost of care

Question 22

Which of the following prohibited discrimination and promoted opportunities 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 23

The third-leading killer of young persons between ages 15 and 24 is:

A) Suicide
B) Automobile accidents
C) Cancer
D) Drug overdose

Question 24

An example of primary prevention concerning mental health is:

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

Question 25

The model/theory that integrates the effects of biology and environment, or nature and nurture, on the development of mental illness is the:

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

Question 26

An example of tertiary prevention concerning mental health is:

A) Psychotherapy
B) Depression education
C) Counseling
D) Coordination transition from the hospital to the community

Question 27

Healthy People 2010 targeted several objectives for mental health. Among them are which of the following? Select all that apply.

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

Question 28

Which of the following are sources of information and help for people with mental illness and mental health problems? Select all that apply.

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

Question 29

Which of the following groups advocates for improved and effective psychiatric services and consumer empowerment?

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 30

Mental health problems and mental disorders are treated by a variety of caregivers who work in diverse and loosely connected facilities. The Surgeon General's report defined ways through which people could receive assistance. These are which of the following? 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 the above

Question 31

An important component of relapse management is:

A) Using a holistic view of the system
B) Identifying triggers
C) Understanding the individual's personality
D) Providing crisis intervention