Question 1

Which event occurred in 1965?

Accepted Answer

The process of deinstitutionalization began in the 1960s, with 1965 being a significant year as the Medicare and Medicaid programs were established, which shifted funding from state mental hospitals to community-based care, leading to the deinstitutionalization of many mentally ill individuals.

Question 2

Which provides the best description of severe mental illness (SMI)?

Accepted Answer

B

Question 3

A college student visits the student health center and tells the nurse that his roommate is talking about killing himself,has given some of his possessions away,and he believes the roommate has a gun.Which action should be taken by the nurse?

Accepted Answer

The nurse should immediately locate the roommate and ensure his safety by staying with him until emergency services arrive, as the situation involves a potential risk of suicide.

Question 4

Which best summarizes the symptoms of a person with bipolar disorder?

Accepted Answer

Bipolar disorder is characterized by mood swings that include emotional highs (mania or hypomania) and lows (depression).

Question 5

Which best explains why having parity in insurance coverage does not always help persons with depression?

Accepted Answer

The answer of Which best explains why having parity in...

Question 6

Which best describes the change that was made to mental health care through the implementation of the ACA?

Accepted Answer

The ACA (Affordable Care Act) required that mental health services be covered at parity with physical health services, meaning they must be treated equally in terms of coverage and cost-sharing.

Question 7

A nurse is picking up her child from nursery school when the daycare teacher says to her,"One of the boys we care for does not seem able to sit still and listen,but is always running around and getting into things.His parents are not worried.His mother said her brother was the same way when he was a kid.Since you are a nurse,do you have any ideas on how I can calm him down?" Which would be the most appropriate response by the nurse?

Accepted Answer

The answer of A nurse is picking up her child...

Question 8

A patient with severe panic attacks refuses to come to the mental health clinic to get help even after being assured there is no charge for the initial assessment.Which provides the best explanation for this behavior?

Accepted Answer

The patient likely experiences anticipatory anxiety, leading them to avoid situations that might trigger a panic attack, such as leaving their house.

Question 9

A nurse is working in a community setting caring for persons with mental health problems and their families.Which accurately describes how the nurse would fulfill the nursing role of coordinator?

Accepted Answer

The role of a coordinator involves helping clients navigate and connect with various community resources and agencies to ensure they receive comprehensive care.

Question 10

Which best describes how people with mental illness are viewed by the general public?

Accepted Answer

The answer of Which best describes how people with mental...

Question 11

Which female would be at greatest risk for developing bulimia nervosa?

Accepted Answer

A 15-year-old cheerleader who aspires to be a professional ballerina may be at greater risk due to the pressure to maintain a certain body image and weight, which are common in activities like cheerleading and ballet.

Question 12

Which mental illness is most frequently diagnosed among adults in the United States?

Accepted Answer

Depression is the most frequently diagnosed mental illness among adults in the United States, affecting millions each year.

Question 13

A person with obsessive-compulsive disorder (OCD)knows the ritual is senseless but is unable to stop.Which best explains why he does not quit doing the ritual?

Accepted Answer

Resisting compulsions in OCD often leads to increased anxiety, which is why individuals continue performing rituals despite recognizing them as senseless.

Question 14

A family was very pleased with how well their child was doing now that he was on medication.They congratulated the nurse on getting their child help and said they were so impressed that the nurse was able to cure him.Which would be the most appropriate response by the nurse?

Accepted Answer

The nurse should emphasize that the medication is managing the symptoms and the child will still need ongoing support, which sets realistic expectations for the family.

Question 15

A student said she wanted to discuss an issue with the nurse but that it was confidential.Therefore,she asks the nurse to promise as a professional to keep this a secret.She then shares that her roommate is very depressed; her older sister committed suicide,and she is planning on killing herself if she does not pass her final examinations.Which action should be taken by the nurse?

Accepted Answer

The nurse has a duty to protect life and must take immediate action when there is a risk of harm, even if confidentiality was promised.

Question 16

Which was required by the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008?

Accepted Answer

The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 requires that health insurance plans provide the same level of benefits for mental health and substance use disorder treatment as they do for medical and surgical care.

Question 17

Which female would be at greatest risk for developing anorexia nervosa?

Accepted Answer

Anorexia nervosa is often associated with perfectionism, a desire to meet high expectations, and a need for control, which aligns with the description of the "good girl" who strives to do everything perfectly.

Question 18

A patient had a distorted thought pattern,which led to very uncomfortable feelings and inappropriate behaviors.Which type of therapy would most likely be successful?

Accepted Answer

Cognitive-behavioral therapy (CBT) is specifically designed to address distorted thought patterns and their impact on emotions and behaviors, making it the most suitable choice for this scenario.

Question 19

Which best describes how brain imaging scans are being used?

Accepted Answer

Brain imaging scans are primarily used to detect and diagnose medical disorders and illnesses by providing detailed images of the brain's structure and function.

Question 20

Which would be most upsetting for American families when their loved one,after serving in Iraq or some other battlefield,returns home?

Accepted Answer

The suicide rate being twice as high among veterans compared to nonveteran adults is a significant and distressing issue for families, as it directly impacts the well-being and safety of their loved ones.

Quiz 25: Populations Affected by Mental Illness