Chapter 32 Chronic Mental Health Disorders

Chapter 32: Chronic Mental Health Disorders MULTIPLE CHOICE 1. Persons with chronic mental health problems have much higher rates of: a. Apathy b. Suicide c. Homicide d. Physical illness ANS: B Individuals with chronic mental health problems have much higher rates of suicide because they often cannot see a bright future for themselves and find it difficult to meet basic needs. PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 381 OBJ: 1 TOP: Scope of Mental Illness KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity 2. 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 ANS: D State psychiatric hospitals discharge long-term patients into the community through a practice called deinstitutionalization. Recidivism refers to a pattern of short hospital admissions and discharges; and exacerbation is a period of dysfunction accompanied by an increase in the signs, symptoms, and seriousness of a problem. PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 381 OBJ: 2 TOP: Effects of Deinstitutionalization KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity 3. 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 ANS: B Each client is a unique individual; therefore, even if clients share the same diagnosis, the experiences are unique. PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 383 OBJ: 2 TOP: Characteristics of Chronic Mental Illness KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity 4. 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 ANS: A Mentally troubled people often see themselves as helpless, ineffective, and incapable of change, which leads to chronic low self-esteem. Suicidal ideation refers to persistent thoughts of suicide; low abstraction abilities refer to the inability to think conceptually; and altered thought processes refer to a disruption in the ability to think clearly. PTS: 1 DIF: Cognitive Level: Application REF: p. 384 OBJ: 3 TOP: Psychological Characteristics KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity 5. 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 ANS: A Children with autism do not develop the ability to respond to and communicate their needs, and they remain dependent oNn UotRheSrsI, NsoGmTetBim.eCs OthMroughout their lives. These children do not respond well to reality. The other options do not accurately match the description in the