Deck 32: Chronic Mental Health Disorders

Question 1

A client in an inpatient mental health setting is scheduled to be discharged with follow-up at a community mental health center.His family is concerned that his inpatient stay was not long enough,and he will be re-admitted in the near future.The nurse knows that the average length of inpatient stay is:

A)5 days
B)10 days
C)25 days
D)1 month

Answer 1

10 days

Question 2

Individuals with schizophrenia tend to use the chemical __________ most often.

A)Alcohol
B)Cocaine
C)Heroin
D)Hypnotics

Answer 2

Alcohol

Question 3

The criterion that necessitates the need to hospitalize an individual with chronic mental health problems occurs when his or her:

A)Behaviors pose a threat
B)Caregivers need a respite
C)Subsistence benefits expire
D)Medications need readjustment

Answer 3

Behaviors pose a threat

Question 4

Which of the following clients in the community with chronic mental illness is most likely to be compliant in taking their prescribed medications on a consistent basis?

A)The client who has an understanding of his or her disease and medication's effect in controlling symptoms
B)The client who has insurance that covers the cost of all prescribed medications
C)The client who has very little insight of his or her illness and is living with a family member
D)The client who is trying to live independently in a homeless shelter

Question 5

Persons with chronic mental health problems have much higher rates of:

A)Apathy
B)Suicide
C)Homicide
D)Physical illness

Question 6

The process of emptying state mental hospitals and placing mentally ill persons in the community is known as:

A)Recidivism
B)Exacerbation
C)Deinstitutionalism
D)Deinstitutionalization

Question 7

Persons with which of the following diagnoses respond well to therapeutic interventions and may have no further problems? (Select all that apply. )

A)Psychosis
B)Depression
C)Anxiety disorders
D)Schizophrenia
E)Phobias

Question 8

The nurse is completing an admission interview with an older adult on a busy medical unit.What action is most appropriate for the nurse to take?

A)Complete the admission interview with the client's son.
B)Shout at the client so he or she can hear.
C)Provide pen and paper and let the client write his answers
D)Allow the client time to respond to the questions regarding health history.

Question 9

The child has not developed the ability to respond to others.He cannot communicate his needs.He may remain dependent upon others throughout his life.He is most accurately described as having:

A)Autism
B)Anxiety
C)Mental retardation
D)Attention-deficit disorder

Question 10

A woman with a history of chronic mental illness was dating someone for about a month before they ended the relationship.What is the probable action the woman will take?

A)Endure a brief period of grieving and seek to begin dating again.
B)Speak to friends and other support persons and consider the positive aspects of the relationship.
C)Withdraw and refuse to seek out or enter into another relationship.
D)Take up an activity with friends to avoid staying home and thinking about the failed relationship.

Question 11

The experience and suffering of living with mental illness:

A)Decreases as one grows older
B)Is unique to each person
C)Follows a predictable course
D)Is common to all mentally ill persons

Question 12

The client finds fault in every success she has.She is afraid to try anything new because she "just knows" that she will fail because she is mentally ill.Her behaviors demonstrate:

A)Low self-esteem
B)Suicidal ideation
C)Low abstraction abilities
D)Altered thought processes

Question 13

The client has been diagnosed with depression for a long time.He recently started using cocaine to help relieve his depression.The most accurate description of these behaviors is a(n):

A)Addiction
B)Dual diagnosis
C)Fear of failure
D)Poor prognosis

Question 14

The client has schizophrenia.He has moved frequently between the community and mental health facilities for the past 7 years.The client's behavior is an example of:

A)Relapse
B)Recidivism
C)Remission
D)Exacerbation

Question 15

Approximately __________% of individuals with chronic mental illness use or abuse drugs.

A)25
B)50
C)75
D)100

Question 16

Individuals with mental illness live an average of __________ years less than the general population.

A)2 to 4
B)5 to 8
C)10 to 15
D)18 to 25

Question 17

Neuroleptic drugs are prescribed to treat:

A)Anxiety disorders
B)Personality disorders
C)Psychotic disorders
D)Somatoform disorders

Question 18

A male client is experiencing hallucinations.The intervention that would be most helpful in controlling the hallucinations is:

A)Actively listening to his concerns
B)Establishing a trusting relationship
C)Encouraging appropriate behaviors
D)Teaching him to use distraction techniques when experiencing hallucinations

Question 19

In the United States today,the effects of deinstitutionalization include (Select all that apply):

A)A comprehensive mental health care system
B)A decrease in the need for medical treatment
C)An increase in the jail and prison populations
D)An increase in the homeless population
E)People who cannot obtain adequate food or shelter

Question 20

A female client with a chronic mental health disorder tells the nurse that she has great difficulty every morning getting ready for work because she cannot decide what to wear to work or what to eat for breakfast.This client is experiencing:

A)Auditory hallucinations
B)Altered thought processes
C)Delusions of grandeur
D)Chronic low self-esteem

Question 21

The nurse on a mental health unit administers a medication to a female client for the purpose of reducing her psychotic symptoms and quieting her behavior.This medication is considered a __________.

Question 22

Adolescents in whom diabetes is diagnosed have high rates of depression and __________.