Deck 36: Mental Health Issues

Question 1

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.

Answer 1

Social Security Act.

Question 2

A client who was deinstitutionalized during the 1960s experienced difficulties living in the community.Which of the following best describes why this difficulty existed?

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

Answer 2

Insufficient community mental health services

Question 3

A nurse implements a primary prevention intervention related to mental health care.Which of the following interventions has most likely been implemented?

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

Answer 3

Stress reduction education

Question 4

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 5

An undergraduate-level prepared nurse is working with a mental health population.Which of the following roles would be most appropriate for the nurse?

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 6

A nurse is counseling a client following an unexpected loss.If given adequate support and adaptation,which of the following best describes what will happen with the client?

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 7

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.Which of the following best describes the organization that the client is likely involved with?

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

Question 8

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

Question 9

The nurse is working in the role of educator with groups of clients.Which of the following interventions would the nurse likely perform?

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 10

A nurse worked in a psychiatric institution during the hospital expansion era.Which of the following best describes the location where the nurse most likely worked?

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 11

An individual viewed physical and mental illness as interrelated,resulting from physical conditions.Which of the following best describes the era in which this individual lived?

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

Question 12

Approximately what percentage of the adult population (ages 18 and older)in the United States suffers from a mental condition that is severe enough to impair daily function?

A) 6%
B) 14%
C) 18%
D) 25%

Question 13

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.

Question 14

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 (ADA)
C) Developmental Disabilities Act
D) Protection and Advocacy for Mentally Ill Individuals Act

Question 15

A nurse has specialized knowledge and skills in mental health illness and problems in order to provide effective nursing care for this population.Which of the following best describes the need for this knowledge and skills?

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 can be met without the influence of nursing.

Question 16

A nurse is employed by the National Institute for Mental Health (NIMH).Which of the following best describes an activity the nurse would be involved in?

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 17

A nurse implements a tertiary prevention intervention related to mental health care.Which of the following interventions has most likely been implemented?

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

Question 18

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 19

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 20

According to the NIMH,which is the leading cause of disability among adults?

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

Question 21

A nurse is involved with a group who advocates for improved and effective psychiatric services and consumer empowerment.Which of the following groups is the nurse most likely working with?

A) 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 22

A nurse is working with older adults and their caregivers.Which of the following would be the most appropriate intervention for the nurse to implement?

A) Work with legislators to advocate for policies that 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 23

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 (AA)
B) Obsessive-Compulsive Foundation
C) Schizophrenics Anonymous
D) Anxiety Disorders Association of America
E) Salvation Army

Question 24

A nurse is implementing relapse management.Which of the following interventions would most likely be used by the nurse?

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

Question 25

A nurse is providing care to an African American population in the community.Which of the following 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) Community agencies

Question 27

A nurse is using Healthy People 2020 as a guide to develop community programming for mental health.Which of the following 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
E) Reduce rates of violent acts against women

Question 28

A nurse is working with persons with serious mental illness.Which of the following recognitions should be made by the nurse?

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.