Mental Health Chap 32

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

a. Apathy

b. Suicide

c. Homicide

d. Physical illness

b

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

d

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

b

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

a

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

a

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

a. 25

b. 50

c. 75

d. 100

c

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

b

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.

a

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

a. Relapse

b. Recidivism

c. Remission

d. Exacerbation

b

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

d

Neuroleptic drugs are prescribed to treat _____ disorders.

a. Anxiety

b. Personality

c. Psychotic

d. Somatoform

c

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

c

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

a. Alcohol

b. Cocaine

c. Heroin

d. Hypnotics

a

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

b

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

b

A 50-year-old man suffering from schizophrenia and depression for the last 30 years is treated on an outpatient basis. What is the primary goal for his treatment plan?

a. Client will return to pre-illness employment and activities of daily living.

b. Client will be managed permanently on an inpatient basis due to the effects of his antipsychotic medications.

c. Client will enter into a vocational training program and not experience an exacerbation of symptoms.

d. Client will be able to live independently and purchase his own home.

c

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.

c

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

a. The client who has an understanding of his or her disease and medications 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

a

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

f. Well-adjusted people with CMI

g. Unlimited access to mental health care

c, d, e

Psychiatric rehabilitation focuses on: (Select all that apply.)

a. Helping clients control their behaviors

b. Assisting clients to cope effectively with their life situations

c. Helping clients identify their feelings

d. Preventing the client from harming himself or herself

e. Assisting the client with problem-solving techniques

f. Assisting with occupational and vocational training

b, c, e, f

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

f. Erratic behavioral disorder

b, c