Question 1

One in five people will experience mental health problems in any year.

Accepted Answer

1 in 5 or 3.2 million Australians are estimated to experience mental illness in each year.

Question 2

Which of the following explains why 'capacity' might be difficult to assess in the primary care (community/out-of-hospital)setting?&#10;A)An understanding of capacity can assist in recognition of the early warning signs of mental illness.&#10;B)The idea of capacity is relational and dependent on environment and circumstances.&#10;C)Evaluating capacity assists in pre-planning and recognition of deterioration in an individual's condition.&#10;D)Capacity is required for collaboration in care planning by the individual with health care providers

Accepted Answer

Capacity is not a fixed characteristic.It changes over time and is dependent upon the environment.

Question 3

What are the hidden costs of the changes in mental health policy?&#10;A)Commonwealth and private health insurance funds spent on mental health&#10;B)Funding from combined state and territory governments diverted to mental health&#10;C)Indirect health costs and loss of earnings for families and carers&#10;D)The funding provided to non-governmental organisations providing support services

Accepted Answer

The hidden costs of mental health are not part of the health budget,and include loss of income for carers effects on their own health.

Question 4

'Capacity' is one factor in the decision to commit a person to involuntary care.Capacity is best understood as the:&#10;A)ability to make decisions regarding one's own health care&#10;B)ability to undertake everyday tasks&#10;C)willingness to take medications&#10;D)potential for harm

Accepted Answer

While all of these factors may be considered in committing a person to involuntary care,'capacity' relates to the ability of the person to understand and make decisions about their health care needs.

Question 5

The latest plan (the Fourth National Mental Health Plan)&#160;within the National Mental Health Strategy focuses on:&#10;A)the initial movement of people from institutionalised care to community care&#10;B)a whole-of-government approach to mental health care&#10;C)the funding of acute inpatient facilities&#10;D)a reduction in community mental health services

Accepted Answer

The National Mental Health Strategy has promoted movement of people from inpatient to community care;this was the goal of the first plan.The latest plan shifts the focus to recovery-based services and social inclusion through promoting access to housing,education and employment opportunities for people with mental illness.

Question 6

Which of the following mental health policy initiatives are typical of new public management?&#10;A)The use of private service providers&#10;B)Competitive tendering for government funding for service delivery&#10;C)Reliance on informal carers&#10;D)All of the above

Accepted Answer

New public management is concerned with achieving cost savings through competition and the use of private service providers,including the use of family and friends as informal carers.All of these strategies are part of mental health services in Australia.
p.168

Question 7

Which of the following factors contribute to the fragmentation of mental health services?&#10;A)Increased use of private service providers&#10;B)The dispersion of the population in rural and remote areas&#10;C)Lack of cultural sensitivity by service providers&#10;D)All of the above

Accepted Answer

It has been argued that services are currently fragmented due to the dispersion of the population,to federalism resulting in two layers of government and blurred lines of accountability between the federal and state governments,and to differences in approach to private services between the major political parties.

Question 8

Which of the following is included in the United Nations Convention on the Rights of People with Disabilities?&#10;A)Political rights&#10;B)Social inclusion&#10;C)Non-discrimination&#10;D)All of the above

Accepted Answer

The convention focuses on social inclusion through the attainment of social,political and economic rights,along with non-discrimination on the basis of disability.

Question 9

The most effective means of bringing about positive change in the health outcomes of people with a mental illness is:&#10;A)keeping clients in institutions&#10;B)developing a therapeutic relationship&#10;C)satisfying clients' goals&#10;D)ensuring medication compliance

Accepted Answer

While developing a therapeutic relationship and medication compliance improve health outcomes,working with the client to establish and meet their own goals leads to longer-term positive changes and is the basis of a recovery approach.

Question 10

A recovery approach to mental health and mental illness is characterised by:&#10;A)a biomedical model of care aimed at curing mental illness&#10;B)a focus on the abnormal and deviancy of the illness&#10;C)a horizontal approach to health care&#10;D)a focus on living with the illness

Accepted Answer

A recovery approach to mental illness is not about curing a mental illness,but about finding a satisfying way of living with the illness.

Deck 12: Organising Care for the Mentally Ill in Australia