Deck 2: Current Mental Health Care Systems

Question 1

A male client with a diagnosis of bipolar disorder is admitted to an inpatient unit during a severe manic episode.As a result of guidelines implemented by the Health Care Financing Administration in 1983,the client's Medicare will pay for his stay in this unit for:

A)The length of time necessary for his condition to be stabilized
B)Up to 6 months with appropriate documentation
C)A pre-determined length of time based on the diagnosis
D)2 to 4 weeks

Answer 1

A pre-determined length of time based on the diagnosis

Question 2

A 9-year-old girl is given the diagnosis of depression.She has low self-esteem,does not enjoy group therapy,and does not show her emotions.The nurse has had difficulty establishing rapport with this client and decides to ask for assistance from another treatment team member.Which team member would best assist in this situation?

A)Psychiatric assistant
B)Dietitian
C)Occupational therapist
D)Expressive therapist

Answer 2

Expressive therapist

Question 3

When arranging community resource linkages for a client and her children who are victims of domestic violence,which resource is the most immediately appropriate?

A)Adult education program
B)Family recreation center
C)Mediation group
D)Women's shelter

Answer 3

Women's shelter

Question 4

A client with a severe,treatment-resistant mental illness has been assigned to an assertive community treatment (ACT)team.An ACT treatment strategy that helps to prevent recurrent hospitalizations for mental health reasons is to meet with the client in the community setting:

A)Once per week
B)Two to four times per week
C)Five to six times per week
D)Seven to eight times per week

Question 5

Nearly __________ of all countries in the world have no clear governmental policy that addresses mental health issues.

A)7%
B)26%
C)50%
D)75%

Question 6

Which principles characterize mental health care in Canada? (Select all that apply. )

A)Portability
B)Universality
C)Accessibility
D)Comprehensiveness
E)Private insurance models
F)Public administration

Question 7

A female client was given the diagnosis of schizophrenia and recently has lost her job.She tells the nurse that she has enough money for only two more house payments,and if she does not find a job,she fears she will become homeless.The nurse knows that this client falls into the group of nearly __________ of U.S.citizens who live below the poverty level.

A)1%
B)6%
C)12%
D)25%

Question 8

Because mental health care is not covered in Australia under the basic health plan,which citizens are more likely to receive mental health care?

A)Wealthy
B)Homeless
C)Disabled
D)Low-income

Question 9

In the United States,which factors determine whether a client requires inpatient rather than outpatient care? (Select all that apply. )

A)Severity of the illness
B)Level of dysfunction
C)Suitability of the setting for treating the problem
D)Anticipated diagnosis
E)Level of client cooperation
F)Ability to pay

Question 10

The __________ model views clients holistically with the goal of creating a support system designed to encourage independence in the client with a mental health disorder.

A)Community support systems
B)Case management
C)Multidisciplinary health care team
D)Client population

Question 11

Mental health care is available under the universal health care system in Britain,which is funded primarily by:

A)Employers
B)Private donations
C)Small businesses
D)Tax revenues

Question 12

The home mental health nurse visits a female client to assess her ability to care for herself at home after discharge from an inpatient setting.Which component of the case management system does this demonstrate?

A)Consultation
B)Crisis intervention
C)Resource linkage
D)Psychosocial rehabilitation

Question 13

Addiction to recreational drugs,such as crack,cocaine,and heroin,combined with use of psychotherapeutic drugs is associated with:

A)Permanent psychotic states
B)Bipolar disorder
C)Generalized anxiety disorder
D)Obsessive-compulsive disorder

Question 14

A female client who is undergoing therapy for depression is divorced and has two children,ages 2 and 4.She has just enrolled in a local community college and is worried about providing food and clothes for her family while holding down a minimum wage job and devoting the time needed to be successful in school.The nurse determines that the best community resource for assisting this client to meet these needs is:

A)A shelter for victims of domestic violence
B)Women,Infants,and Children (WIC)
C)A family-planning agency
D)A family recreation center

Question 15

It is estimated that approximately _____million adults in the United States experience some form of mental or emotional disorder.

A)35.5
B)61.5
C)28.2
D)59

Question 16

A client suffering from chronic mental illness often forgets to take her medication and needs to be reminded to take care of daily hygiene.She does not have family or other support persons living in the area.The care delivery most beneficial for this client is:

A)Emergency departments
B)Residential program
C)Community mental health center
D)Psychiatric home care

Question 17

A 35-year-old client with a long history of schizophrenia who often forgets to take his medication is admitted to an inpatient unit after police find him threatening passengers on a bus.This is his fourth admission in 3 months.This frequent re-hospitalization is an example of:

A)Recidivism
B)Symptom exacerbation
C)Noncompliance
D)Rejection

Question 18

The home care nurse is providing care to an older adult client with a diagnosis of depression who is caring for his wife with Alzheimer's disease.He states that he hardly has enough energy to cook and clean the house.The couple has no children,and no relatives live within a close distance.Which community agency would be of greatest benefit to this client?

A)A recreational club
B)An adult education program
C)A day care center for the elderly
D)Meals on Wheels

Question 19

Which member of the multidisciplinary mental health care team is primarily responsible for evaluating the family of the client,as well as the environmental and social surroundings of the client,and plays a major role in the admission of new clients?

A)Psychiatric nurse
B)Clinical psychologist
C)Psychiatrist
D)Psychiatric social worker

Question 20

A woman is admitted to an inpatient psychiatric unit after a suicide attempt by overdose.The primary rationale for her admission is to:

A)Have limited supervision by health care personnel
B)Maintain responsibility for her own behavior
C)Receive treatment in the least restrictive manner
D)Provide her with a safe and secure environment

Question 21

Which client populations are at greater risk for the development of mental health disorders? (Select all that apply. )

A)Homeless
B)Clients infected with HIV or AIDS
C)Those in crisis
D)Nurses
E)Clients living in rural areas
F)Older adults
G)Psychiatrists
H)Children

Question 22

The case management for a client requiring community mental health services would include which of the following? (Select all that apply. )

A)Advocacy
B)Crisis intervention
C)Provision of referrals to a shelter
D)Administration of psychotropic medications
E)Developing a client's plan of care

Question 23

The __________ therapist of the mental health team uses methods such as pet therapy and music therapy when working with clients and is responsible for providing leisure-time activities and for teaching inpatient clients useful ways to pass time.