Deck 33: Community Mental Health

Question 1

A community/public health nurse was caring for mentally ill clients in the community during the 1960s.Which of the following changes in the community was the nurse likely to notice? (Select all that apply.)

A)Communities resented becoming dumping grounds for such severely ill people.
B)Community health centers were rapidly built,staffed,and prepared to provide appropriate care.
C)Families were relieved that they did not have to travel so far to visit their ill family member.
D)Housing units were quickly built for the patients capable of independent living.
E)Psychiatric patients were feared,mocked,and stigmatized and found life outside frightening.
F)Without adequate financial support,patients were admitted for crisis care but were quickly discharged.

Answer 1

Communities resented becoming dumping grounds for such severely ill people.
Psychiatric patients were feared,mocked,and stigmatized and found life outside frightening.
Without adequate financial support,patients were admitted for crisis care but were quickly discharged.

Question 2

A community/public health nurse working in the late 1960s saw an increase in the number of psychiatric patients who were being cared for in the community.What was the reason for this increase?

A)Phenothiazine drugs such as chlorpromazine had been discovered.
B)Lobbyists had demanded closure of state psychiatric hospitals.
C)State funding encouraged the establishment of community mental health centers.
D)Community-based therapy was found to be effective at controlling psychiatric symptoms.

Answer 2

Phenothiazine drugs such as chlorpromazine had been discovered.

Question 3

In the 1960s,what was recommended by the Mental Health Survey Act's Joint Commission on Mental Illness and Health?

A)That an increased number of professionals who were prepared to treat the mentally ill be educated and employed
B)That mental health patients be deinstitutionalized and treatment be given to them in the community
C)That families reintegrate the ill family member into the home
D)That large state institutions be demolished and smaller,more homelike "cottages" be built

Answer 3

That mental health patients be deinstitutionalized and treatment be given to them in the community

Question 4

What was one of the suggestions given to President Carter in the 1970s when the mental health needs of the nation were reassessed?

A)Decrease support for mental health research.
B)Establish national health insurance that includes coverage for mental health services.
C)Require private insurance carriers to include mental health coverage.
D)Return responsibility for mental health from the states to the federal level.

Question 5

What major event related to the mental health care system occurred in the late 1980s?

A)The Reagan administration's Omnibus Budget Reconciliation Act terminated funding specifically for community mental health services.
B)States refused to continue to be told how to spend their money by the federal level and refused to provide matching funds to community mental health centers.
C)The budget crisis resulted in less funding for mental health services on the federal level and more funding on the local level.
D)The President's Commission on Mental Health confirmed that community mental health centers were ineffective in meeting the needs of the patients.

Question 6

A community/public health nurse providing care for the mentally ill in the 1980s had difficulty finding funds to provide care for her clients.What was the end result of this lack of funding?

A)Many of the mentally ill died from lack of care and basic life necessities.
B)Most of the mentally ill returned to the large state institutions.
C)New,more progressive,modern state institutions were designed,built,and included community-based services.
D)Severely disabled clients remained in state institutions,and the less disabled clients used the services of community mental health centers.

Question 7

Why did many psychiatric patients have impaired social interaction,decision-making skills,and life skills when they were discharged from the large state mental hospitals?

A)They had families who had not socialized them appropriately.
B)They heard nurses tell them too often that they were incompetent and incapable.
C)They lacked the ability to learn how to behave in front of others.
D)They were accustomed to having needs met and decisions made by the institution.

Question 8

A community/public health nurse would like to implement a secondary prevention strategy within the community to meet the needs of the families caring for members with mental illness.Which of the following interventions would the nurse be most likely to complete?

A)Providing counseling services for the family members
B)Offering mental health consultation services to businesses in which family members are employed
C)Developing discharge planning instructions for the family members
D)Advocating within the political arena for the rights of the family members

Question 9

A community/public health nurse has contacted her legislator to discuss a bill that would enact the provisions of Timothy's Law in the state where she lives.Which of the following statements would the nurse most likely make during this conversation?

A)"Timothy's Law suggests that foster care is often the only workable approach to children in trouble."
B)"Timothy's Law encourages an increase in the amount of support and counseling available in schools."
C)"Timothy's Law demonstrates how helpful it is for families to have insurance coverage."
D)"Timothy's Law shows off the success of local collaboration to address the inequities in mental health coverage."

Question 10

A patient asks the community/public health nurse why there has been an increase in the number of self-help programs in the community.What was one factor that led to the popularity of these programs?

A)Community mental health centers wanted to avoid paying professionals to work as counselors.
B)Families were unhappy with professional care and helped their family members to "do it yourself."
C)There was a lack of professionals available to fulfill these needed responsibilities.
D)Patients chose to do this to give their lives meaning by making a difference to someone else through giving as well as receiving.

Question 11

A community/public health nurse caring for mental health patients in the late 1990s noticed changes in the services that were available for this population.What led to these changes?

A)Communities began banding together to demand increased funding from the federal budget.
B)Psychiatrists were given some power to speak for their patients about services necessary to facilitate their recovery.
C)Psychiatric patients and their families organized and became involved in policy development.
D)States convinced the federal government that they could not cope with the demands of this population.

Question 12

A community/public health nurse is providing care for the mentally ill.Of the following needs that the nurse can help the client meet,which are most important? (Select all that apply.)

A)Access to medications
B)Basic life necessities
C)Integration of provided services
D)Funding for care
E)Options for day treatment
F)Support for family members

Question 13

A nurse was creating health education units to be taught in the community high school.Which unit would be most helpful to adolescents,their teachers,and the community as a whole?

A)First aid and preparedness in case of natural disasters
B)Healthy lifestyles with an emphasis on the need for physical activity
C)Signs of depression and suicide and ways of helping someone at risk for suicide
D)Sex education about subjects ranging from abstinence to avoiding pregnancy and sexually transmitted diseases (STDs)among teenagers who are sexually active

Question 14

According to E.Fuller Torrey,where would a person most likely encounter a mentally ill person?

A)State mental hospital
B)State prison or jail
C)Grocery store
D)Living with a family member

Question 15

A community/public health nurse links a mental health client with the necessary services in the community.This is an example of which category of individual client-focused interventions?

A)Consulting
B)Teaching
C)Providing therapy
D)Case management

Question 16

What is the leading cause of disability in the United States among individuals aged 15 to 44?

A)Arthritis
B)Cardiac conditions
C)Cerebrovascular disorders
D)Mental illness

Question 17

Which of the following is an example of a catchment area?

A)A community mental health center that provides comprehensive services
B)A community where the homeless meet each evening and are taken to a shelter for safety
C)A jail or prison where the severely mentally ill are kept isolated from prisoners who do not suffer from such illnesses
D)A city or several rural communities small enough to allow collaboration among themselves