Question 1

Which of the following was the first consumer group to advocate for better mental health services, such as establishing education and self-help services for individuals and families with mental illness?
A) Community Support Program (CSP)
B) National Institute of Mental Health (NIMH)
C) Mental Health Study
D) National Alliance for the Mentally Ill (NAMI)

Accepted Answer

The National Alliance for the Mentally Ill (NAMI) was the first consumer group to advocate for better mental health services, including education and self-help services for individuals and families with mental illness. The Community Support Program (CSP) and Mental Health Study were both government initiatives that aimed to improve mental health services, while the National Institute of Mental Health (NIMH) is a federal agency that conducts research on mental illness and provides funding for mental health programs.

Question 2

The humanitarian reform was influenced in America by:
A) Philippe Pinel
B) Benjamin Rush
C) Dorothea Dix
D) Clifford Beers

Accepted Answer

B

Question 3

The first psychiatric hospital in the United States was built in 1773 in:
A) Boston, Massachusetts
B) Philadelphia, Pennsylvania
C) Williamsburg, Virginia
D) Hartford, Connecticut

Accepted Answer

The first psychiatric hospital in the United States, known as the Public Hospital for Persons of Insane and Disordered Minds, was established in Williamsburg, Virginia, in 1773.

Question 4

A myriad of accessible and coordinated services are needed to maintain people in the community with chronic mental illness. Despite inadequate sources, advances have been made in the treatment of mental illness. These advances have been influenced by:
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

Accepted Answer

Advances in the treatment of mental illness have been significantly influenced by a better understanding of the neurobiology of mental illness, leading to more effective treatments and interventions.

Question 5

According to the World Health Organization (WHO), which of the following is the leading cause of disability among adults in developed nations?
A) Schizophrenia
B) Major depression
C) Obsessive-compulsive disorder
D) Anxiety

Accepted Answer

According to the World Health Organization, major depression is the leading cause of disability among adults in developed nations. While anxiety disorders are common, they do not have as significant an impact on overall disability as major depression. Schizophrenia and obsessive-compulsive disorder are less prevalent than major depression and anxiety disorders.

Question 6

During which era was physical and mental illness seen as interrelated and resulting from physical conditions?
A) Ancient times
B) Middle Ages
C) Colonial
D) Greco-Roman

Accepted Answer

The Greco-Roman era, also known as classical antiquity, saw the rise of the humoral theory which held that physical and mental illness were interrelated and resulted from imbalances in bodily fluids or humors. This theory was prevalent in Greek and Roman medicine and continued to influence medical thought in Europe until the Renaissance.

Question 7

Mental health problems are manifested in many ways. Untoward incidents or even anticipated life events can diminish physical, cognitive, affective, and social functioning. Given adequate support and adaptation:
A) Most people never recover from crises and become mentally ill.
B) Nurses can prevent losses and mental illness.
C) Grief can be ignored.
D) Most people resume their lifestyles following losses in spite of sadness.

Accepted Answer

Most people are resilient and, with adequate support and adaptation, can resume their lifestyles after experiencing losses, even if they feel sadness.

Question 8

An early consumer who advocated the improvement of mental health services was:
A) Clifford Beers
B) Benjamin Rush
C) Philippe Pinel
D) Dorothea Dix

Accepted Answer

Clifford Beers was an early consumer who advocated for the improvement of mental health services. He wrote a book, "A Mind That Found Itself," which detailed his firsthand experiences with mental illness and the poor treatment he received in psychiatric institutions. This book helped to bring attention to the need for reform and led to the formation of the National Committee for Mental Hygiene, which focused on improving the quality of mental health care.

Question 9

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

Accepted Answer

The Social Security Act of 1935 was the first major piece of legislation to influence mental health services in the U.S. by providing funding for public health initiatives, including mental health.

Question 10

Cultural beliefs and economics influence the amount and types of mental health services and treatment available in countries. Two universal truths exist. One of these is:
A) Services for people with mental disorders are inadequate.
B) The effects of mental health are universal.
C) Mental health does not affect families in some countries.
D) The United States has the best mental health system.

Accepted Answer

Despite variations across countries, one universal truth is that mental health services tend to be inadequate or insufficient. This is often due to stigma, cultural beliefs, and economic factors, such as limited funding or resources allocated to mental health services. Therefore, option A is the correct answer. Option B is also partially true but does not fully address the issue of the availability of mental health services. Option C is incorrect, as mental health affects families everywhere. Option D is an incorrect statement and not a universal truth.

Question 11

Brief hospital stays and inadequate community resources have resulted in an increased number of persons with serious mental illness. Which of the following is true about this group?
A) Persons with severe mental illness need to be institutionalized until they are functional.
B) Approximately one quarter of the homeless persons in the United States have serious mental illness.
C) Serious mental illness originates from childhood events and therapy is ineffective.
D) If people are motivated, they can earn a living and be able to purchase their needed medications.

Accepted Answer

Research indicates that approximately one quarter of the homeless population in the United States has a serious mental illness. This highlights the need for better community resources to support individuals with mental illness to prevent homelessness and improve their quality of life. Option A is not an appropriate solution as institutionalization is not the recommended approach for treating mental illness. Option C is not entirely true as while childhood events can contribute to mental illness, therapy can be an effective intervention. Option D oversimplifies the complex challenges individuals with mental illness can face, such as difficulty finding and maintaining employment due to ongoing symptoms and stigmatization.

Question 12

The role of the community health nurses is varied and includes all levels of nursing education. The undergraduate level-prepared nurse:
A) Prescribes medications and has hospital admission privileges
B) Works as a case managers for large groups of persons with mental illness
C) Works only in acute psychiatric hospital settings
D) Provides basic primary, secondary, and tertiary services

Accepted Answer

Undergraduate-level prepared nurses who work as community health nurses provide basic primary, secondary, and tertiary services to individuals, families, and communities. They do not prescribe medications or have hospital admission privileges. While they may work with individuals with mental illness, they do not necessarily serve as case managers for large groups in this population. Community health nursing is not limited to acute psychiatric hospital settings.

Question 13

Mental illnesses are complex biopsychosocial disorders. Traumatic experiences can change brain biochemistry. This information supports the notion that:
A) An abnormal brain vasculature can be detected with angiography.
B) Antipsychotic drugs can be used for all types of mental illness.
C) Both experience and psychosocial factors have effects on etiology and on treatment of mental illness.
D) Mental illness can be cured with the right drugs.

Accepted Answer

Mental illnesses have a multifactorial etiology involving biological, psychological, and social factors. Traumatic experiences can alter brain biochemistry and contribute to the development of mental illnesses. Therefore, treatment approaches that address the biopsychosocial aspects of mental illness are recommended. Antipsychotic drugs may not be appropriate for all types of mental illness, and mental illnesses cannot be cured by drugs alone.

Question 14

Approximately what percentage of the adult population (18 to 64 years of age) has a mental disorder in the United States?
A) 6
B) 14
C) 22
D) 30

Accepted Answer

According to the National Institute of Mental Health, approximately 22% of adults in the United States have a mental disorder in any given year.

Question 15

The ability to engage in productive activities and fulfilling relationships with other people, to adapt to change, and to cope with adversity is the definition of:
A) Mental illness
B) Mental disorders
C) Mental health
D) Mood disorders

Accepted Answer

The ability to engage in productive activities and fulfilling relationships with other people, to adapt to change, and to cope with adversity is the definition of mental health. Mental illness and mental disorders refer to conditions that affect a person's thinking, feeling, or behavior, while mood disorders specifically relate to abnormalities in a person's emotional state. Therefore, C is the best choice.

Question 16

The nurse working in the role of educator with groups of clients may:
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 and mental health
D) Act as an advocate for mental health support groups.

Accepted Answer

The nurse working as an educator with groups of clients would focus on using learning principles to increase the understanding of mental illness and mental health. The other choices are not necessarily directly related to the role of an educator with groups of clients.

Question 17

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) Stabilizing clients with psychotropic medication was easier when the client was hospitalized.
D) It provided a less stressful environment for clients to recuperate.

Accepted Answer

Many clients with mental disorders were institutionalized due to the continued fear of people with mental disorders. Before the deinstitutionalization movement in the 1960s, people with mental disorders were often stigmatized and feared, leading to their confinement in institutions.

Question 18

Which of the following people 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

Accepted Answer

Dorothea Dix led reform efforts in the United States to correct inhumane practices in the care of criminals, those with mental disorders, and victims of the Civil War. She was instrumental in establishing hospitals and asylums for people with mental illnesses, and she also advocated for better conditions for prisoners and for the mentally ill who were housed in jails and almshouses.

Question 19

A major objective of the National Institute for Mental Health is the:
A) Expansion of psychiatric units in general hospitals
B) Development of education and research programs for community mental health treatment approaches
C) Legislation and advocacy for the rights of people with mental disorders
D) Deinstitutionalization of patients

Accepted Answer

The National Institute for Mental Health's objective is to develop education and research programs for community mental health treatment approaches. This is aimed at promoting mental health services that can be offered in a community setting, reducing the need for institutionalization. Option A is not a primary objective of NIMH. Option C relates more to external organizations than NIMH. While option D aligns with NIMH’s objective, it is not the primary objective.

Question 20

During the hospital expansion era, most psychiatric institutions were located:
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

Accepted Answer

During the hospital expansion era, most psychiatric institutions were located in rural areas, often far away from family and social activities. This was in part due to the belief that separation from the stresses of urban life would aid in recovery, as well as the availability of large plots of inexpensive land for the construction of large-scale hospitals.

Quiz 34: Mental Health Issues

Which of the following was the first consumer group to advocate for better mental health services, such as establishing education and self-help services for individuals and families with mental illness?

The humanitarian reform was influenced in America by:

The first psychiatric hospital in the United States was built in 1773 in:

A myriad of accessible and coordinated services are needed to maintain people in the community with chronic mental illness. Despite inadequate sources, advances have been made in the treatment of mental illness. These advances have been influenced by:

According to the World Health Organization (WHO) , which of the following is the leading cause of disability among adults in developed nations?

During which era was physical and mental illness seen as interrelated and resulting from physical conditions?

Mental health problems are manifested in many ways. Untoward incidents or even anticipated life events can diminish physical, cognitive, affective, and social functioning. Given adequate support and adaptation:

An early consumer who advocated the improvement of mental health services was:

The first major piece of legislation to influence mental health services in the United States was the:

Cultural beliefs and economics influence the amount and types of mental health services and treatment available in countries. Two universal truths exist. One of these is:

Brief hospital stays and inadequate community resources have resulted in an increased number of persons with serious mental illness. Which of the following is true about this group?

The role of the community health nurses is varied and includes all levels of nursing education. The undergraduate level-prepared nurse:

Mental illnesses are complex biopsychosocial disorders. Traumatic experiences can change brain biochemistry. This information supports the notion that:

Approximately what percentage of the adult population (18 to 64 years of age) has a mental disorder in the United States?

The ability to engage in productive activities and fulfilling relationships with other people, to adapt to change, and to cope with adversity is the definition of:

The nurse working in the role of educator with groups of clients may:

Many clients with mental disorders were institutionalized because:

Which of the following people 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 major objective of the National Institute for Mental Health is the:

During the hospital expansion era, most psychiatric institutions were located: