Mental Health - Exam 1 Questions And
Answers 100% Guaranteed Success 2024-
2025.
Mental health & mental illness - correct answer. Mental health:
-Difficult to define; no single, universal definition
-Dynamic, ever-changing state
Mental illness:
-Includes disorders that affect:
1. Mood
2. Behavior
3. Thinking
These often indicate signs of distress and/or impaired functioning
General criteria for diagnosis of mental illness (5) - correct answer. 1. Dissatisfaction
with characteristics, abilities, accomplishments
2. Ineffective or unsatisfying relationships
3. Dissatisfaction with one's place in the world
4. Ineffective coping with life events
5. Lack of personal growth
3 factors influencing mental health can be categorized as: - correct answer. 1.
individual (personal)- biologic makeup, autonomy & independence, self-esteem,
emotional resilience, sense of belonging, reality orientation, coping or stress
management
2. Interpersonal (relationship)- effective communication, ability to help others, intimacy,
balance of separateness & connectedness
3. Social/cultural (environmental)- sense of community, access to adequate resources,
intolerance of violence, support of diversity, positive yet realistic view of one's world
,DSM-5 3 purposes - correct answer. Taxonomy published by American Psychiatric
Association
1. Standardize nomenclature, language
2. Identify defining characteristics or symptoms
3. Assist in identifying underlying causes
DSM-5 allows the practitioner to identify all the factors that relate to a person's
condition: (3) - correct answer. 1. all major psychiatric disorders
2. medical conditions that are potentially relevant to understanding or managing the
person's mental disorder
3. psychosocial & environmental problems that may affect the diagnosis, treatment, &
prognosis of mental disorders
The definition of mental health is standardized and universally accepted. True or false?
- correct answer. False
There is no single universal definition of mental health, which has many components
and is influenced by myriad factors.
Historically, mental illness was viewed as - correct answer. demonic possession, sin,
or weakness, and people were punished accordingly
Period of enlightenment (1790s) - correct answer. -Creation of asylums; moral
treatment
-Dorothea Dix
-Sigmund Freud: scientific study, treatment of mental illness
A significant advancement in treating persons with mental illness was the - correct
answer. development of psychotropic drugs in the early 1950's
The shift from institutional care to care in the community began in the - correct answer.
1960's, allowing many people to leave institutions for the first time in years
Community mental health movement
-Deinstitutionalization
-Legislation for disability income
-Changes in commitment laws
Deinstitutionalization - correct answer. Decrease in admission to hospitals and the
development of community-based services as an alternative
Mental illness & the 21st century (6) - correct answer. 1. More than 18.6% of
Americans aged 18 years and older have diagnosable mental disorder. 20.7 million
have a substance use disorder, and 8.4 million of this population have a dual diagnosis.
2. 15 million adults and 4 million children and adolescents with impaired daily activities
,3. *Economic burden exceeds that of all types of cancer*
4. *Leading cause of disability in the U.S & Canada for those 15 to 44 years of age*
5. *Increasing number of both adults and children/adolescents are being treated for
mental illness*; yet only 1 in 4 adults and 1 in 5 children are treated.
6. Treatment still lagging in homeless and those with substance abuse problems
One result of deinstitutionalizing is the: - correct answer. *revolving door of repetitive
hospital admission without adequate community follow-up*
-mentally ill are often "boarded" in EDs while awaiting inpatient beds
-Shorter hospital stays, decompensation, rehospitalization, dual diagnoses
-Homelessness (42% estimated to have serious mental illness associated with
substance abuse)
-33% have associated physical illness comorbidities.
-Lack of adequate community resources
Which statement best reflects the current state of mental health and mental illness?
A. Mental health-care costs exceed the costs for cancer care.
B. Most adults and children receive adequate mental health care.
C. Community resources for the homeless with mental illness are adequate.
D. Deinstitutionalization has reduced the revolving-door effect. - correct answer. A.
Mental health-care costs exceed the costs for cancer care.
Rationale: The economic burden of mental illness exceeds that for all types of cancer
care.
Only 1 in 4 adults and 1 in 5 children receive the necessary mental health care.
Community resources for homeless clients with mental illness are inadequate.
Deinstitutionalization has led to the "revolving-door" effect.
Community-based care (5) - correct answer. 1. Lack of appropriate number of
community mental health centers to provide services
2. Development of community support programs
3. Availability, quality of services highly variable
4. Inaccurate anticipation of extent of people's needs
5. Despite flaws, positive aspects make them *preferable for treatment*
Community-based programs are preferable for treating many people with mental illness.
True or false? - correct answer. True
Although there are flaws in the system, community-based programs have positive
aspects that make them preferable for treating many people with mental illness.
Psychiatric nursing practice: basic (7) & advanced-level functions (4) - correct answer.
basic:
1. Counseling
, 2. Milieu therapy
3. Self-care activities
4. Psychobiologic interventions
5. Health teaching
6. Case management
7. Health promotion, maintenance
advanced:
1. Psychotherapy
2. Prescriptive authority for drugs
3. Consultation, liaison
4. Evaluation
Which statement best describes the practice of psychiatric nursing?
1. Helps people with present or potential mental health
2. Ensures clients' legal and ethical rights by being a client advocate
3. Focuses interpersonal skills on people with physical or emotional problems
4. Acts in a therapeutic way with people who are diagnosed with having a mental
disorder. - correct answer. 3. Focuses interpersonal skills on people with physical or
emotional problems
Psychoanalytic theory was developed by who? - correct answer. Sigmund Freud
Psychoanalytic theory supports the notion that: - correct answer. all human behavior
is *caused & can be explained*
focuses on *discovering the causes of the client's unconscious & repressed thoughts,
feelings, & conflicts* believed to cause the client anxiety & on helping the client to gain
insight into & resolve these conflicts & anxieties
Freud believed that human behavior is motivated by repressed _____ & ______ & that
childhood development is based on ____ as the driving force. - correct answer. sexual
impulses & desires
sexual energy (libido)
Freud conceptualized personality structure as having what 3 components? - correct
answer. 1. Id- *innate desires* such as pleasure-seeking behavior, aggression, &
sexual impulses *(ex: irrational, "this is what I want now")*
2. superego- *reflects moral & ethical concepts*, values, & parental & social
expectations *(ex: mature, "I don't need that")*
3. ego- *balancing or mediating force between the id & superego.* Mature & adaptive
behavior *(ex: mediator. "I will get that when I have the means. I do not need it right
now.")*
