Foundations of Mental Health Care 7th Edition Morrison-Valfre Test Bank

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Chapter 01: The History of Mental Health Care Morrison-Valfre: Foundations of Mental Health Care, 7th Edition abirb.com/test

MULTIPLE CHOICE abirb.com/test

1. The belief of the ancient Greek philosopher Plato that the rational soul controlled the irrational soul could be compared with the belief of the more recent psychological theorist: abirb.com/test a. Freud. b. Pinel. c. Fisher. abirb.com/test d. Rush.

ANS: A abirb.com/test Sigmund Freud believed that mental illness was, in part, caused by forces both within and outside the personality. Philippe Pinel advocated acceptance of mentally ill individuals as abirb.com/test human beings in need of medical assistance. Alice Fisher was a Florence Nightingale nurse who cared for the mentally ill, and Dr. Benjamin Rush was the author of the book Diseases of the Mind. abirb.com/test DIF: Cognitive Level: Comprehension REF: p. 2 OBJ: 2 TOP: Early Years of Mental Health KEY: Nursing Process Step: Assessment abirb.com/test MSC: Client Needs: Psychosocial Integrity abirb.com/test 2. During the mid-1500s, behaviors associated with mental illness were more accurately recorded by professionals. This practice led to ______________ for different abnormal behaviors. abirb.com/test a. classifications b. diagnosing abirb.com/test c. treatment d. education abirb.com/test ANS: A Classification of abnormal behaviors did not begin until this time, after the practice of more accurate recording of behaviors was begun. Diagnoses, treatment guidelines, and any abirb.com/test education regarding mental health disorders were not available during this period.

DIF: Cognitive Level: Knowledge REF: p.abirb.com/test 3 OBJ: 3 TOP: Mental Illness During the Renaissance KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity abirb.com/test

3. During the latter part of the 18th century, psychiatry became a separate branch of medicine, and inhumane treatment was greatly diminished by the French hospital director: abirb.com/test a. Dix. b. Beers. abirb.com/test c. Pinel. d. Carter.

ANS: C

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Philippe Pinel advocated acceptance of the mentally ill, as well as proper treatment.

Dorothea Dix crusaded for construction of mental health hospitals. Clifford Beers wrote the book A Mind That Found Itself. President Jimmy Carter established the President’s abirb.com/test Commission on Mental Health in 1978.

DIF: Cognitive Level: Knowledge REF: p.abirb.com/test 4 OBJ: 4 TOP: Mental Illness in the 18th Century KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity abirb.com/test

4. In 1841, _______________ surveyed asylums, jails, and almshouses throughout the United States, Canada, and Scotland and is credited with bringing about public awareness and abirb.com/test reform for the care of the mentally ill. a. Sigmund Freud abirb.com/test b. John Cade c. Florence Nightingale d. Dorothea Dix abirb.com/test

ANS: D Dorothea Dix spent 20 years surveying facilities that housed mentally ill individuals and is abirb.com/test credited with major changes in the care of the mentally ill. Sigmund Freud introduced the concept of psychoanalysis, John Cade discovered lithium carbonate for the treatment of bipolar disorder, and Florence Nightingale trained nurses in England in the 1800s. abirb.com/test DIF: Cognitive Level: Knowledge REF: p. 5 OBJ: 4 abirb.com/test TOP: Mental Illness in the 19th Century KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity abirb.com/test

5. As a direct result of Clifford Beers’ work and book, A Mind That Found Itself, the Committee for Mental Hygiene was formed in 1909 with a focus on prevention of mental abirb.com/test illness and: a. early detection of symptoms of mental illness. b. education of caregivers. abirb.com/test c. current treatment options. d. removing the stigma attached to mental illness. abirb.com/test

ANS: D Clifford Beers’ book reflected on his attempt at suicide followed by the deplorable care he received for the next 3 years in mental hospitals. Beers’ work and book raised the abirb.com/test consciousness of people throughout the country regarding prevention and removal of the stigma of having a mental illness. Early detection of symptoms, education of caregivers, and abirb.com/test current treatment options regarding mental illness were not the focus of his book, nor were they a priority for the Committee for Mental Hygiene. abirb.com/test

DIF: Cognitive Level: Knowledge REF: p. 5 OBJ: 4 TOP: Mental Illness in the 20th Century KEY: Nursing Process Step: Assessment abirb.com/test MSC: Client Needs: Psychosocial Integrity 6. During the 1930s, what common treatment for schizophrenia caused clients to fall into a abirb.com/test coma that could last as long as 50 hours? a. Electroconvulsive therapy abirb.com/test

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b. Insulin therapy c. Humoral therapy d. Amphetamine therapy

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ANS: B Insulin therapy was believed to successfully treat schizophrenia in the early 1900s. abirb.com/test Amphetamines were used to treat depression, and electroconvulsive therapy was used for severe depression. Humoral therapy, which originated in ancient Greece and Rome, was a belief that mental illness resulted from an imbalance of the humors of air, fire, water, and abirb.com/test earth.

DIF: Cognitive Level: Knowledge REF: p.abirb.com/test 6 OBJ: 5 TOP: Influences of War on Mental Health Therapies KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity abirb.com/test 7. In the 1930s, what mental health disorder was electroconvulsive therapy (ECT) most often abirb.com/test used to treat? a. Schizophrenia b. Bipolar disorder abirb.com/test c. Severe depression d. Violent behavior abirb.com/test

ANS: C ECT was found to be an effective treatment for severe depression in the 1930s. During this period, schizophrenia was treated with insulin therapy,abirb.com/test and violent behavior was treated with a lobotomy. In 1949, lithium carbonate was discovered as a treatment for bipolar disorder. abirb.com/test

DIF: Cognitive Level: Knowledge REF: p. 6 OBJ: 5 TOP: Influences of War on Mental Health Therapiesabirb.com/test KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity abirb.com/test 8. In the early 20th century, a frontal lobotomy was a common treatment for violent behaviors.

Which description of this procedure is accurate? a. A procedure that delivers an electrical stimulus to the frontal lobes of the brain. abirb.com/test b. A surgical procedure that drills holes in the front of the skull to drain fluid. c. A surgical procedure that severs the frontal lobes of the brain from the thalamus. d. A surgical procedure that inserts implants into theabirb.com/test frontal lobes of the brain.

ANS: C A frontal lobotomy is a surgical procedure in which the frontal lobes of the brain are severed abirb.com/test from the thalamus.

DIF: Cognitive Level: Knowledge REF: p.abirb.com/test 6 OBJ: 5 TOP: Influences of War on Mental Health Therapies KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity abirb.com/test 9. In 1937, Congress passed the Hill-Burton Act, which was significant for the treatment of mental health because it funded: abirb.com/test a. research on drugs for the treatment of mental health disorders. abirb.com/test

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b. training of mental health professionals. c. construction of psychiatric units in facilities throughout North America. d. development of community mental health clinics. abirb.com/test ANS: C The Hill-Burton Act provided money for the construction of psychiatric units in the United abirb.com/test States. Research on drugs was not a part of the Hill-Burton Act. Training of mental health professionals was funded by the National Mental Health Act of 1946, and community mental health centers were not instituted until the 1960s. abirb.com/test DIF: Cognitive Level: Knowledge REF: p. 6 OBJ: 5 | 9 abirb.com/test TOP: Influences of War on Mental Health Therapies KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity abirb.com/test

10. The National Mental Health Act of 1946 provided a means for funding of programs that promote research on mental health and: abirb.com/test a. development of mental health clinics in the community. b. training of mental health professionals. c. treatment for veterans suffering from mental health disorders. abirb.com/test d. educating the public about mental illness.

ANS: B abirb.com/test The National Mental Health Act of 1946 provided much needed training for individuals who cared for patients with mental health disorders. Community mental health clinics were initiated in the 1960s, treatment for veterans was not funded by this act, and education of the abirb.com/test public occurred later.

DIF: Cognitive Level: Knowledge REF: p.abirb.com/test 6 OBJ: 5 | 9 TOP: Influences of War on Mental Health Therapies KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity abirb.com/test 11. Which of the following best describes the disorder that was first recognized in veterans abirb.com/test following the Korean and Vietnam Wars? a. Depression b. Bipolar disorder abirb.com/test c. Post-traumatic stress disorder d. Paranoid schizophrenic disorder abirb.com/test ANS: C Post-traumatic stress disorder was initially discovered in veterans who had been involved in armed conflicts. The other disorders also occur in veterans but were not first recognized in abirb.com/test soldiers who were fighting wars.

DIF: Cognitive Level: Knowledge REF: p.abirb.com/test 6 OBJ: 5 TOP: Influences of War on Mental Health Therapies KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity abirb.com/test 12. The introduction of ___________ in the 1950s led to the deinstitutionalization of many mentally ill individuals. abirb.com/test a. psychotherapeutic drugs abirb.com/test

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b. community mental health clinics c. residential treatment centers d. state mental health facilities

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ANS: A Psychotherapeutic drugs allowed for better control of behaviors than did other therapies abirb.com/test alone during the 1950s. Patients were being released from state mental health facilities as a result of psychotherapeutic drug therapy. Community mental health clinics and residential treatment centers resulted from the deinstitutionalization of patients. abirb.com/test DIF: Cognitive Level: Knowledge REF: p. 6 OBJ: 6 abirb.com/test TOP: Introduction of Psychotherapeutic Drugs KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity abirb.com/test

13. In 1949, an Australian physician discovered which therapy to be an effective treatment for bipolar (manic-depressive) illness? abirb.com/test a. Insulin therapy b. Water/ice therapy c. Lithium carbonate therapy abirb.com/test d. Electroconvulsive therapy ANS: C abirb.com/test To this day, lithium is a treatment that is used to effectively balance the manic states and depressive states of bipolar disorder. None of the other therapies listed are effective for bipolar disorder. abirb.com/test DIF: Cognitive Level: Knowledge REF: p. 6 OBJ: 6 abirb.com/test TOP: Introduction of Psychotherapeutic Drugs KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity abirb.com/test

14. In the early 1960s, a committee appointed by President John F. Kennedy recommended the development of a new approach to the way mental health care was administered, with an abirb.com/test emphasis on the introduction of: a. psychotherapeutic drugs. b. state mental health care systems. abirb.com/test c. community mental health centers. d. deinstitutionalization of patients. abirb.com/test ANS: C The emergence of community mental health centers was necessary, in part because of the massive deinstitutionalization of patients from state mental health care facilities after the abirb.com/test introduction of psychotherapeutic drugs in the 1950s.

DIF: Cognitive Level: Knowledge REF: p.abirb.com/test 7 OBJ: 7 TOP: Introduction of Psychotherapeutic Drugs KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity abirb.com/test 15. The Mental Health Systems Act of 1980 was one of the most progressive mental health bills in the history of the United States, but its enactment was interrupted by the: abirb.com/test a. election of a new president. abirb.com/test

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b. appointment of a new Surgeon General. c. rapid expansion of community centers. d. National Alliance on Mental Illness (NAMI) surveys. abirb.com/test ANS: A The election of a new president and his administration led to drastic cuts in federal funding abirb.com/test for mental health programs. None of the other three choices were a part of the Mental Health Systems Act of 1980. abirb.com/test

DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: 9 TOP: Congressional Actions KEY: Nursing Process Step: Assessment abirb.com/test MSC: Client Needs: Psychosocial Integrity 16. The Omnibus Budget Reform Act (OBRA) of 1987 prevented the housing of people with abirb.com/test chronic mental illness in: a. nursing homes. abirb.com/test b. state mental health facilities. c. residential treatment centers. d. homeless shelters. abirb.com/test

ANS: A Many mentally ill, especially elderly, people were inappropriately placed in nursing homes abirb.com/test with personnel who were not trained to care for these people. OBRA prevented this practice.

State mental health facilities, residential treatment centers, and homeless shelters were not addressed in the OBRA of 1987. abirb.com/test DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: 9 abirb.com/test TOP: Congressional Actions KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity abirb.com/test

17. In the late 1980s, government funding for mental health care dwindled, and most insurance companies __________ coverage for psychiatric care. abirb.com/test a. withdrew b. increased c. decreased abirb.com/test d. added ANS: A abirb.com/test Unfortunately, insurance companies followed the trend of the national government to the point of actually dropping coverage for psychiatric care. abirb.com/test

DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: 9 TOP: Congressional Actions KEY: Nursing Process Step: Assessment abirb.com/test MSC: Client Needs: Psychosocial Integrity 18. In 2006, the National Alliance on Mental Illness (NAMI) conducted a comprehensive abirb.com/test survey and grading of state mental health care for adults and learned that the overall grade for care was: a. “A.” abirb.com/test b. “B.” abirb.com/test

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c. “C.” d. “D.” abirb.com/test ANS: D The NAMI gave a grade of “D” to the mental health care system based on poor funding, limited availability of care, and patients’ lack of access to mental health care. abirb.com/test

DIF: Cognitive Level: Knowledge REF: p. 8 OBJ: 9 TOP: Congressional Actions KEY: Nursing Process abirb.com/test Step: Assessment MSC: Client Needs: Psychosocial Integrity abirb.com/test 19. In the early 1900s, the first theory of mental illness that showed behavior could be changed is attributed to: a. Beers. abirb.com/test b. Dix. c. Freud. abirb.com/test d. Pinel.

ANS: C abirb.com/test Freud was the first person who succeeded in explaining human behavior in psychological terms and in demonstrating that behavior can be changed under the proper circumstances. abirb.com/test

DIF: Cognitive Level: Knowledge REF: p. 6 OBJ: 5 TOP: Psychoanalysis KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity abirb.com/test MULTIPLE RESPONSE

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1. The humoral theory of disease embraced by Hippocrates required a balance of which abirb.com/test elements? (Select all that apply.) a. Fire b. Water abirb.com/test c. Light d. Air e. Earth abirb.com/test ANS: A, B, D, E Hippocrates viewed mental illness as a result of an imbalance of humors—the fundamental abirb.com/test elements of air, fire, water, and earth. Each basic element had a related humor or part in the body. abirb.com/test

DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 2 TOP: Greece and Rome KEY: Nursing Process Step: Assessment abirb.com/test MSC: Client Needs: Psychosocial Integrity 2. Which aspects of adult mental health care systems didabirb.com/test the National Alliance on Mental Illness survey focus on? (Select all that apply.) a. Availability of care abirb.com/test b. Access to care c. Regulation of medications abirb.com/test

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d. Increased funding ANS: A, B, D abirb.com/test In 2006, the National Alliance on Mental Illness (NAMI) conducted the “first comprehensive survey and grading of state adult mental health care systems conducted in more than 15 years” (NAMI, 2006). Their results revealed a fragmented system with an abirb.com/test overall grade of D. Recommendations focused on increased funding, availability of care, access to care, and greater involvement of consumers and their families. abirb.com/test

DIF: Cognitive Level: Knowledge REF: p. 8 OBJ: 9 TOP: 21st Century KEY: Nursing Process Step: Assessment abirb.com/test MSC: Client Needs: Psychosocial Integrity abirb.com/test

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Chapter 02: Current Mental Health Care Systems Morrison-Valfre: Foundations of Mental Health Care, 7th Edition abirb.com/test

MULTIPLE CHOICE abirb.com/test

1. Mental health care is available under the universal health care system in Britain, which is funded primarily by: abirb.com/test a. employers. b. private donations. c. small businesses. abirb.com/test d. tax revenues.

ANS: D abirb.com/test Tax revenues are the primary funding source for Britain’s universal health care system. All aspects of health care, except for eye care and limited dental care, are covered under the abirb.com/test standard benefit package for citizens of Britain.

DIF: Cognitive Level: Knowledge REF: p.abirb.com/test 11 OBJ: 1 TOP: Mental Health Care in Britain KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity abirb.com/test

2. The __________ model views clients holistically with the goal of creating a support system designed to encourage independence in the client with a mental health disorder. abirb.com/test a. community support systems b. case management c. multidisciplinary health care team abirb.com/test d. client population ANS: A abirb.com/test The community support systems (CSS) model works by coordinating social, medical, and psychiatric services. Case management refers to individual management of clients and takes abirb.com/test into consideration psychosocial rehabilitation, consults, referrals, therapy, and crisis intervention. A multidisciplinary health care team is made up of all of the professionals who work within a mental health care system, and client population simply refers to individuals abirb.com/test who may potentially seek mental health care.

DIF: Cognitive Level: Knowledge REF: p.abirb.com/test 12 OBJ: 3 TOP: Outpatient Care KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity abirb.com/test

3. The home mental health nurse visits a female client to assess her ability to care for herself at home after discharge from an inpatient setting. Whichabirb.com/test component of the case management system does this demonstrate? a. Consultation abirb.com/test b. Crisis intervention c. Resource linkage d. Psychosocial rehabilitation abirb.com/test

ANS: D abirb.com/test

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Psychosocial rehabilitation assists clients in gaining independence in activities of daily living to the best of their individual capabilities. Consultation refers to assistance obtained from specialists, such as a psychiatrist; crisis intervention refers to care provided during a abirb.com/test crisis event; and resource linkage indicates referral to community resources.

DIF: Cognitive Level: Comprehension REF: p.abirb.com/test 14 OBJ: 5 TOP: Case Management Systems KEY: Nursing Process Step: Intervention MSC: Client Needs: Health Promotion and Maintenance abirb.com/test

4. A client with a severe, treatment-resistant mental illness has been assigned to an assertive community treatment (ACT) team. An ACT treatmentabirb.com/test strategy that helps to prevent recurrent hospitalizations for mental health reasons is to meet with the client in the community setting: abirb.com/test a. once per week. b. two to four times per week. c. five to six times per week. abirb.com/test d. seven to eight times per week.

ANS: B abirb.com/test The continuous care team that meets with a client two to four times per week has been found to be effective in directing the client’s treatment on a more continuous basis, resulting in greater stability for the client who is living in the community with the help of appropriate abirb.com/test systems.

DIF: OBJ: KEY: MSC:

Cognitive Level: Knowledge REF: p.abirb.com/test 15 | Table 2.2 5 TOP: Case Management Systems Nursing Process Step: Intervention abirb.com/test Client Needs: Safe and Effective Care Environment

5. Which member of the multidisciplinary mental healthabirb.com/test care team is primarily responsible for evaluating the family of the client, as well as the environmental and social surroundings of the client, and plays a major role in the admission of new clients? abirb.com/test a. Psychiatric nurse b. Clinical psychologist c. Psychiatrist abirb.com/test d. Psychiatric social worker ANS: D abirb.com/test These are the primary responsibilities of the psychiatric social worker. The psychiatric nurse’s primary responsibilities include assisting with the client’s activities of daily living abirb.com/test and managing individual, family, and group psychotherapy.

The clinical psychologist is involved in the planning of treatment and diagnostic processes, and the psychiatrist is the leader of the team. abirb.com/test DIF: OBJ: KEY: MSC:

Cognitive Level: Comprehension REF: p. 16 | Table 2.3 abirb.com/test 6 TOP: Multidisciplinary Mental Health Care Team Nursing Process Step: Intervention Client Needs: Safe and Effective Care Environment abirb.com/test

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6. It is estimated that approximately _____ million adults in the United States experience some form of mental or emotional disorder. a. 35.5 abirb.com/test b. 61.5 c. 28.2 d. 59 abirb.com/test ANS: B Although exact statistics are unavailable, it is estimated that at any given time at least 61.5 abirb.com/test million adults in the United States suffer from mental-emotional disorders. “Approximately 18.1% of American adults—about 42 million people—live with anxiety disorders” abirb.com/test (National Alliance on Mental Illness, 2014).

DIF: Cognitive Level: Knowledge REF: p.abirb.com/test 18 OBJ: 7 TOP: Impact of Mental Illness KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity abirb.com/test

7. A male client with a diagnosis of bipolar disorder is admitted to an inpatient unit during a severe manic episode. As a result of guidelines implemented by the Health Care Financing abirb.com/test Administration in 1983, the client’s Medicare will pay for his stay in this unit for: a. the length of time necessary for his condition to be stabilized. b. up to 6 months with appropriate documentation. abirb.com/test c. a pre-determined length of time based on the diagnosis. d. 2 to 4 weeks. abirb.com/test

ANS: C Medicare payment guidelines are based on the diagnosis, which is classified under a abirb.com/test diagnosis-related group (DRG), and specify a pre-determined payment for a particular diagnosis. This cost containment strategy has also been adopted by some private insurance companies. After the pre-determined time, the facilityabirb.com/test is responsible for additional costs incurred by the client’s stay.

DIF: Cognitive Level: Comprehension REF: p.abirb.com/test 18 OBJ: 1 TOP: Economic Issues of Mental Illness KEY: Nursing Process Step: Assessment MSC: Client Needs: Safe and Effective Care Environment abirb.com/test

8. A female client was given the diagnosis of schizophrenia and recently has lost her job. She tells the nurse that she has enough money for only twoabirb.com/test more house payments, and if she does not find a job, she fears she will become homeless. The nurse knows that this client falls into the group of nearly __________ of U.S. citizens who live below the poverty level. abirb.com/test a. 1% b. 6% c. 12% abirb.com/test d. 25% ANS: C abirb.com/test Approximately 12% of Americans (or 45 million people) live below the poverty level.

Living in poverty often precipitates mental disorders, or mental disorders may occur while an individual is living in poverty. abirb.com/test abirb.com/test

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DIF: Cognitive Level: Knowledge REF: p. 18 OBJ: 7 TOP: Social Issues of Mental Illness KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity abirb.com/test 9. Addiction to recreational drugs, such as crack, cocaine, and heroin, combined with use of psychotherapeutic drugs is associated with: abirb.com/test a. permanent psychotic states. b. bipolar disorder. abirb.com/test c. generalized anxiety disorder. d. obsessive-compulsive disorder. abirb.com/test ANS: A Permanent psychotic states are occurring in mental health clients who combine their psychotherapeutic medications with the abuse of recreational drugs. The combination of abirb.com/test these two types of drugs is not commonly associated with bipolar disorder, generalized anxiety disorder, or obsessive-compulsive disorder. abirb.com/test

DIF: Cognitive Level: Knowledge REF: p. 19 OBJ: 7 TOP: Social Issues of Mental Illness KEY: Nursing Process Step: Assessment abirb.com/test MSC: Client Needs: Psychosocial Integrity 10. A 9-year-old girl is given the diagnosis of depression.abirb.com/test She has low self-esteem, does not enjoy group therapy, and does not show her emotions. The nurse has had difficulty establishing rapport with this client and decides to ask for assistance from another treatment team member. Which team member would best assistabirb.com/test in this situation? a. Psychiatric assistant b. Dietitian abirb.com/test c. Occupational therapist d. Expressive therapist abirb.com/test

ANS: D Expressive therapists work well with children who have difficulty expressing their thoughts abirb.com/test and feelings. Expressive therapists use creative methods that appeal to children. The dietitian would not be the best team member to meet the needs of the client at this time. The psychiatric assistant, or technician, assists the nurse with daily activities and in monitoring abirb.com/test clients during leisure activities. The occupational therapist works primarily with rehabilitation therapy, such as socialization and vocational retraining. abirb.com/test

DIF: OBJ: KEY: MSC:

Cognitive Level: Application REF: p. 16 | Table 2.3 6 TOP: Multidisciplinary Mental Health Care Team abirb.com/test Nursing Process Step: Intervention Client Needs: Safe and Effective Care Environment abirb.com/test

11. Nearly __________ of all countries in the world have no clear governmental policy that addresses mental health issues. abirb.com/test a. 7% b. 26% c. 50% abirb.com/test d. 75% abirb.com/test

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ANS: C In addition to nearly half of the countries in the world that have no policy on mental health issues, approximately one-third have no program for coping with the increasing numbers of abirb.com/test mental health disabilities.

DIF: Cognitive Level: Knowledge REF: p.abirb.com/test 10 OBJ: 1 TOP: Current Mental Health Care Systems KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity abirb.com/test

12. A woman is admitted to an inpatient psychiatric unit after a suicide attempt by overdose.

The primary rationale for her admission is to: abirb.com/test a. have limited supervision by health care personnel. b. maintain responsibility for her own behavior. c. receive treatment in the least restrictive manner. abirb.com/test d. provide her with a safe and secure environment. abirb.com/test ANS: D The most important advantage of inpatient psychiatric care is that it provides clients with a safe and secure environment where they can focus on and work with the problems that abirb.com/test brought them there.

DIF: Cognitive Level: Knowledge REF: p.abirb.com/test 12 OBJ: 2 TOP: Inpatient Care KEY: Nursing Process Step: Planning MSC: Client Needs: Psychosocial Integrity abirb.com/test

13. A 35-year-old client with a long history of schizophrenia who often forgets to take his medication is admitted to an inpatient unit after policeabirb.com/test find him threatening passengers on a bus. This is his fourth admission in 3 months. This frequent re-hospitalization is an example of: abirb.com/test a. recidivism. b. symptom exacerbation. c. noncompliance. abirb.com/test d. rejection.

ANS: A abirb.com/test Unable to cope in the community setting, people with chronic psychiatric problems often return to institutions or use community services on a revolving-door basis. This behavior pattern is known as recidivism and means a relapse (return) of a symptom, disease, or abirb.com/test behavior.

DIF: Cognitive Level: Knowledge REF: p.abirb.com/test 12 OBJ: 4 TOP: Outpatient Care KEY: Nursing Process Step: Planning MSC: Client Needs: Psychosocial Integrity abirb.com/test MULTIPLE RESPONSE

abirb.com/test

1. Which principles characterize mental health care in Canada? (Select all that apply.) a. Portability abirb.com/test b. Universality abirb.com/test

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