Current Mental Health Care Systems Practice Exam

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Current Mental Health Care Systems Practice Exam

 

To excel in the Current Mental Health Care Systems Practice Exam, focus on understanding contemporary mental health policies, treatment approaches, and systemic challenges. Review key topics such as healthcare accessibility, integrated care models, patient advocacy, and the impact of legislation. Practice answering questions that assess both theoretical knowledge and practical application to ensure comprehensive exam readiness.

 

Sample Questions With Answers

 

Question: What is the primary goal of integrated care models in mental health?

  • Answer: To provide coordinated care that addresses both mental and physical health needs of patients, improving overall outcomes and reducing fragmentation.
  • Question: What is the main piece of legislation governing mental health care in the United States?
  • Answer: The Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008, which ensures that mental health and substance use disorder benefits are on par with medical and surgical benefits.
  • Question: What is the significance of the Recovery Model in mental health care?
  • Answer: It focuses on the patient’s ability to live a meaningful life despite having a mental health condition, emphasizing empowerment, hope, and self-determination.
  • Question: What is the purpose of community mental health centers (CMHCs)?
  • Answer: To provide accessible, community-based services to individuals with mental health needs, promoting prevention, early intervention, and treatment in a local setting.
  • Question: Which act aims to improve access to mental health services for children and adolescents in the U.S.?
  • Answer: The Mental Health Services for Students Act, which provides funding for mental health services in schools to support the well-being of students.
  • Question: What does the term “mental health parity” mean?
  • Answer: It refers to the requirement that health insurance plans cover mental health and substance use disorder treatments equally as they do physical health treatments.
  • Question: What are some common barriers to accessing mental health care?
  • Answer: Stigma, lack of insurance coverage, shortage of qualified professionals, and geographical isolation.
  • Question: Name a key principle of trauma-informed care in mental health settings.
  • Answer: Ensuring safety and creating an environment where individuals feel secure and supported as they engage in treatment.
  • Question: How do telehealth services contribute to mental health care?
  • Answer: They provide remote access to therapy and psychiatric consultations, helping overcome barriers like location, transportation issues, and scheduling conflicts.
  • Question: What is the role of case management in mental health care?
  • Answer: To coordinate services and support for individuals, ensuring they receive comprehensive and personalized care that meets their specific needs.
  • Question: What is a common treatment approach used for severe mental health disorders like schizophrenia?
  • Answer: Antipsychotic medications, combined with therapy and social support, are commonly used to manage symptoms.
  • Question: What does “evidence-based practice” mean in the context of mental health care?
  • Answer: Using the best available research, clinical expertise, and patient preferences to guide decision-making in mental health treatment.
  • Question: Which mental health approach focuses on changing negative thought patterns?
  • Answer: Cognitive Behavioral Therapy (CBT).
  • Question: What is the purpose of a crisis intervention team (CIT)?
  • Answer: To provide immediate, specialized support and de-escalation for individuals experiencing a mental health crisis, often involving law enforcement and mental health professionals.
  • Question: What is a significant challenge to mental health care in rural areas?
  • Answer: Limited access to mental health professionals and services, often requiring telehealth solutions or outreach programs.
  • Question: What does “psychosocial rehabilitation” aim to achieve?
  • Answer: It focuses on helping individuals with mental health conditions develop skills for daily living, social integration, and vocational success.
  • Question: How does the Affordable Care Act (ACA) impact mental health services?
  • Answer: It expanded mental health coverage requirements and mandated that mental health and substance use services be included as essential health benefits in insurance plans.
  • Question: What is the goal of assertive community treatment (ACT)?
  • Answer: To provide intensive, community-based support to individuals with severe mental health disorders to help them live independently.
  • Question: Which type of therapy involves a patient learning to understand their emotions and develop coping strategies through interpersonal interactions?
  • Answer: Interpersonal Therapy (IPT).
  • Question: What is the role of the National Institute of Mental Health (NIMH)?
  • Answer: To lead research efforts on mental health disorders and support the development of effective treatment strategies.
  • Question: What is a significant risk factor for developing depression?
  • Answer: A family history of depression, chronic stress, or significant life events such as loss or trauma.
  • Question: What does the term “patient-centered care” refer to in mental health?
  • Answer: An approach that respects and responds to individual patient preferences, needs, and values in care delivery.
  • Question: Which population is at a higher risk for suicide?
  • Answer: Individuals with a history of mental illness, particularly depression, bipolar disorder, or substance use disorders.
  • Question: What are “advocacy groups” in mental health care, and what do they do?
  • Answer: Organizations that work to raise awareness, reduce stigma, and promote policies that support individuals with mental health needs.
  • Question: What is one of the major advantages of using telepsychiatry?
  • Answer: It improves accessibility to mental health services for individuals who live in remote or underserved areas.
  • Question: How do support groups contribute to mental health recovery?
  • Answer: They provide a sense of community, reduce isolation, and allow individuals to share experiences and coping strategies.
  • Question: What is the main difference between a clinical psychologist and a psychiatrist?
  • Answer: A clinical psychologist has a doctoral degree (Ph.D. or Psy.D.) and provides therapy, while a psychiatrist is a medical doctor (M.D. or D.O.) who can prescribe medication.
  • Question: What is the purpose of “psychoeducation” in mental health treatment?
  • Answer: To educate individuals and their families about mental health conditions and treatment options to enhance understanding and involvement in the recovery process.
  • Question: What is the focus of mindfulness-based therapy?
  • Answer: Teaching individuals to become more aware of the present moment and accept their thoughts without judgment, often used in the treatment of anxiety and depression.
  • Question: What is a potential barrier to accessing mental health care for minority communities?
  • Answer: Cultural stigma surrounding mental illness and language barriers that prevent effective communication.
  • Question: What does “continuum of care” mean in mental health services?
  • Answer: A system that ensures a range of mental health services are available, from preventive care to intensive, inpatient treatment, allowing for tailored, step-by-step support.
  • Question: How does cognitive-behavioral therapy (CBT) differ from traditional talk therapy?
  • Answer: CBT focuses on identifying and changing negative thought patterns and behaviors, while traditional talk therapy often involves open-ended conversation.
  • Question: Which mental health condition is commonly treated with dialectical behavior therapy (DBT)?
  • Answer: Borderline Personality Disorder (BPD).
  • Question: What role do school-based mental health programs play?
  • Answer: They provide mental health support and resources directly in schools to help students manage stress, improve academic performance, and promote emotional well-being.
  • Question: What is a common indicator that a person might be experiencing post-traumatic stress disorder (PTSD)?
  • Answer: Symptoms such as flashbacks, nightmares, and severe anxiety following exposure to trauma.
  • Question: Why is early intervention important in mental health care?
  • Answer: It can prevent the progression of mental health conditions and improve long-term outcomes for individuals.
  • Question: What is the function of the World Health Organization (WHO) in global mental health?
  • Answer: To lead international efforts in promoting mental health, developing guidelines, and supporting research.
  • Question: What is the main purpose of psychopharmacology in mental health treatment?
  • Answer: To use medication to manage symptoms of mental health disorders and improve the overall functioning of the patient.
  • Question: What is an example of a low-intensity intervention in mental health care?
  • Answer: Online self-help programs or brief counseling sessions for stress management.
  • Question: What does “mental health equity” strive to achieve?
  • Answer: Equal access to quality mental health services for all individuals, regardless of their socioeconomic status, race, or geographical location.
  • Question: What is a common treatment approach for individuals with severe depression that has not responded to traditional therapies?
  • Answer: Electroconvulsive therapy (ECT), which can be effective in cases where other treatments have failed.
  • Question: What is the main goal of psychoanalysis as a form of therapy?
  • Answer: To uncover and understand unconscious thoughts and feelings that influence behavior, helping individuals gain insight into their emotional issues.
  • Question: What role does primary care play in mental health care?
  • Answer: Primary care providers often serve as the first point of contact for mental health concerns, diagnosing, treating mild to moderate conditions, and referring patients to specialists when needed.
  • Question: What is an example of a preventive measure in mental health care?
  • Answer: Implementing community-based wellness programs to promote mental health awareness and reduce the risk of developing serious mental illnesses.
  • Question: How do peer support specialists contribute to mental health treatment?
  • Answer: By providing lived-experience support, they help individuals feel understood, build trust, and encourage hope and recovery.
  • Question: What is a common diagnostic tool used by mental health professionals to assess a patient’s mental health?
  • Answer: Structured interviews such as the Mini International Neuropsychiatric Interview (MINI) or standardized assessment scales like the Beck Depression Inventory (BDI).
  • Question: What is the purpose of a mental health intake assessment?
  • Answer: To gather detailed information about a patient’s medical and psychological history, current symptoms, and treatment needs to create a comprehensive care plan.
  • Question: How does trauma impact mental health?
  • Answer: Trauma can lead to a variety of mental health issues, including PTSD, anxiety, depression, and difficulties with emotional regulation.
  • Question: What is the main focus of cognitive remediation therapy?
  • Answer: To improve cognitive functions such as memory, attention, and problem-solving skills, particularly for those with severe mental disorders like schizophrenia.
  • Question: What does “continuity of care” ensure in mental health treatment?
  • Answer: That a patient’s care is consistent and seamless across different levels of services and providers.
  • Question: What is the difference between bipolar I and bipolar II disorder?
  • Answer: Bipolar I disorder involves at least one manic episode, while bipolar II disorder involves hypomanic episodes and major depressive episodes without full-blown mania.
  • Question: What are “mental health disparities”?
  • Answer: Differences in the quality of mental health care and outcomes experienced by different groups due to factors such as race, ethnicity, income, and geographic location.
  • Question: Why is cultural competence important in mental health care?
  • Answer: It helps providers deliver effective and respectful treatment that considers the patient’s cultural beliefs, values, and experiences.
  • Question: What is one key feature of dialectical behavior therapy (DBT)?
  • Answer: It emphasizes the balance between acceptance and change, helping individuals regulate emotions and improve interpersonal effectiveness.
  • Question: What are some of the common co-occurring disorders associated with substance use?
  • Answer: Depression, anxiety disorders, PTSD, and other mood disorders.
  • Question: What is the main goal of mental health advocacy?
  • Answer: To promote policies that support mental health care access, reduce stigma, and secure resources for treatment and research.
  • Question: What does “early psychosis intervention” aim to do?
  • Answer: To detect and treat the first signs of psychosis early, improving long-term outcomes and reducing the risk of chronic mental illness.
  • Question: What is the primary objective of health education in mental health promotion?
  • Answer: To inform and empower individuals with knowledge and skills to manage their mental health effectively and reduce the risk of developing disorders.
  • Question: What are “evidence-based treatments”?
  • Answer: Therapies and interventions that have been scientifically tested and shown to be effective for treating specific mental health conditions.
  • Question: What is an important consideration when treating elderly patients with mental health issues?
  • Answer: Recognizing the impact of age-related factors, such as cognitive decline, medical conditions, and potential isolation, which can affect treatment approaches.
  • Question: How do mental health treatment plans typically get developed?
  • Answer: By assessing a patient’s needs, setting clear and achievable treatment goals, and outlining specific interventions and therapies to achieve those goals.
  • Question: What is the significance of the term “mental health parity” for insurance policies?
  • Answer: It ensures that mental health and substance use disorder services are provided at the same level of coverage as other medical services.
  • Question: What is a key benefit of group therapy?
  • Answer: It provides individuals with a shared sense of support and understanding and fosters social interaction and skill development.
  • Question: What role do genetic and environmental factors play in mental health?
  • Answer: Both contribute to the risk of developing mental health disorders, with genetics influencing susceptibility and environmental factors playing a significant role in triggering or exacerbating conditions.
  • Question: What is the difference between “psychosis” and “neurosis”?
  • Answer: Psychosis is characterized by a loss of contact with reality, while neurosis involves anxiety and stress without losing touch with reality.
  • Question: What does a holistic approach to mental health care involve?
  • Answer: Addressing not just the psychological aspects, but also the physical, social, and spiritual well-being of the patient.
  • Question: What is a significant advantage of using smartphone apps for mental health support?
  • Answer: They provide convenient, accessible, and sometimes anonymous resources for managing stress, anxiety, and other mental health concerns.
  • Question: What type of therapy is often used to help patients process traumatic experiences?
  • Answer: Eye Movement Desensitization and Reprocessing (EMDR) therapy.
  • Question: What does “mental health literacy” refer to?
  • Answer: The knowledge and understanding of mental health issues, including how to recognize symptoms, seek help, and support others.
  • Question: What is a “mental health navigator”?
  • Answer: A professional who assists individuals in finding and accessing the appropriate mental health services and resources.

 

  • Question: What is the primary goal of integrated care models in mental health?
  • Answer: To provide coordinated care that addresses both mental and physical health needs of patients, improving overall outcomes and reducing fragmentation.
  • Question: What is the main piece of legislation governing mental health care in the United States?
  • Answer: The Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008, which ensures that mental health and substance use disorder benefits are on par with medical and surgical benefits.
  • Question: What is the significance of the Recovery Model in mental health care?
  • Answer: It focuses on the patient’s ability to live a meaningful life despite having a mental health condition, emphasizing empowerment, hope, and self-determination.
  • Question: What is the purpose of community mental health centers (CMHCs)?
  • Answer: To provide accessible, community-based services to individuals with mental health needs, promoting prevention, early intervention, and treatment in a local setting.
  • Question: Which act aims to improve access to mental health services for children and adolescents in the U.S.?
  • Answer: The Mental Health Services for Students Act, which provides funding for mental health services in schools to support the well-being of students.
  • Question: What does the term “mental health parity” mean?
  • Answer: It refers to the requirement that health insurance plans cover mental health and substance use disorder treatments equally as they do physical health treatments.
  • Question: What are some common barriers to accessing mental health care?
  • Answer: Stigma, lack of insurance coverage, shortage of qualified professionals, and geographical isolation.
  • Question: Name a key principle of trauma-informed care in mental health settings.
  • Answer: Ensuring safety and creating an environment where individuals feel secure and supported as they engage in treatment.
  • Question: How do telehealth services contribute to mental health care?
  • Answer: They provide remote access to therapy and psychiatric consultations, helping overcome barriers like location, transportation issues, and scheduling conflicts.
  • Question: What is the role of case management in mental health care?
  • Answer: To coordinate services and support for individuals, ensuring they receive comprehensive and personalized care that meets their specific needs.
  • Question: What is a common treatment approach used for severe mental health disorders like schizophrenia?
  • Answer: Antipsychotic medications, combined with therapy and social support, are commonly used to manage symptoms.
  • Question: What does “evidence-based practice” mean in the context of mental health care?
  • Answer: Using the best available research, clinical expertise, and patient preferences to guide decision-making in mental health treatment.
  • Question: Which mental health approach focuses on changing negative thought patterns?
  • Answer: Cognitive Behavioral Therapy (CBT).
  • Question: What is the purpose of a crisis intervention team (CIT)?
  • Answer: To provide immediate, specialized support and de-escalation for individuals experiencing a mental health crisis, often involving law enforcement and mental health professionals.
  • Question: What is a significant challenge to mental health care in rural areas?
  • Answer: Limited access to mental health professionals and services, often requiring telehealth solutions or outreach programs.
  • Question: What does “psychosocial rehabilitation” aim to achieve?
  • Answer: It focuses on helping individuals with mental health conditions develop skills for daily living, social integration, and vocational success.
  • Question: How does the Affordable Care Act (ACA) impact mental health services?
  • Answer: It expanded mental health coverage requirements and mandated that mental health and substance use services be included as essential health benefits in insurance plans.
  • Question: What is the goal of assertive community treatment (ACT)?
  • Answer: To provide intensive, community-based support to individuals with severe mental health disorders to help them live independently.
  • Question: Which type of therapy involves a patient learning to understand their emotions and develop coping strategies through interpersonal interactions?
  • Answer: Interpersonal Therapy (IPT).
  • Question: What is the role of the National Institute of Mental Health (NIMH)?
  • Answer: To lead research efforts on mental health disorders and support the development of effective treatment strategies.
  • Question: What is a significant risk factor for developing depression?
  • Answer: A family history of depression, chronic stress, or significant life events such as loss or trauma.
  • Question: What does the term “patient-centered care” refer to in mental health?
  • Answer: An approach that respects and responds to individual patient preferences, needs, and values in care delivery.
  • Question: Which population is at a higher risk for suicide?
  • Answer: Individuals with a history of mental illness, particularly depression, bipolar disorder, or substance use disorders.
  • Question: What are “advocacy groups” in mental health care, and what do they do?
  • Answer: Organizations that work to raise awareness, reduce stigma, and promote policies that support individuals with mental health needs.
  • Question: What is one of the major advantages of using telepsychiatry?
  • Answer: It improves accessibility to mental health services for individuals who live in remote or underserved areas.
  • Question: How do support groups contribute to mental health recovery?
  • Answer: They provide a sense of community, reduce isolation, and allow individuals to share experiences and coping strategies.
  • Question: What is the main difference between a clinical psychologist and a psychiatrist?
  • Answer: A clinical psychologist has a doctoral degree (Ph.D. or Psy.D.) and provides therapy, while a psychiatrist is a medical doctor (M.D. or D.O.) who can prescribe medication.
  • Question: What is the purpose of “psychoeducation” in mental health treatment?
  • Answer: To educate individuals and their families about mental health conditions and treatment options to enhance understanding and involvement in the recovery process.
  • Question: What is the focus of mindfulness-based therapy?
  • Answer: Teaching individuals to become more aware of the present moment and accept their thoughts without judgment, often used in the treatment of anxiety and depression.
  • Question: What is a potential barrier to accessing mental health care for minority communities?
  • Answer: Cultural stigma surrounding mental illness and language barriers that prevent effective communication.
  • Question: What does “continuum of care” mean in mental health services?
  • Answer: A system that ensures a range of mental health services are available, from preventive care to intensive, inpatient treatment, allowing for tailored, step-by-step support.
  • Question: How does cognitive-behavioral therapy (CBT) differ from traditional talk therapy?
  • Answer: CBT focuses on identifying and changing negative thought patterns and behaviors, while traditional talk therapy often involves open-ended conversation.
  • Question: Which mental health condition is commonly treated with dialectical behavior therapy (DBT)?
  • Answer: Borderline Personality Disorder (BPD).
  • Question: What role do school-based mental health programs play?
  • Answer: They provide mental health support and resources directly in schools to help students manage stress, improve academic performance, and promote emotional well-being.
  • Question: What is a common indicator that a person might be experiencing post-traumatic stress disorder (PTSD)?
  • Answer: Symptoms such as flashbacks, nightmares, and severe anxiety following exposure to trauma.
  • Question: Why is early intervention important in mental health care?
  • Answer: It can prevent the progression of mental health conditions and improve long-term outcomes for individuals.
  • Question: What is the function of the World Health Organization (WHO) in global mental health?
  • Answer: To lead international efforts in promoting mental health, developing guidelines, and supporting research.
  • Question: What is the main purpose of psychopharmacology in mental health treatment?
  • Answer: To use medication to manage symptoms of mental health disorders and improve the overall functioning of the patient.
  • Question: What is an example of a low-intensity intervention in mental health care?
  • Answer: Online self-help programs or brief counseling sessions for stress management.
  • Question: What does “mental health equity” strive to achieve?
  • Answer: Equal access to quality mental health services for all individuals, regardless of their socioeconomic status, race, or geographical location.
  • Question: What is a common treatment approach for individuals with severe depression that has not responded to traditional therapies?
  • Answer: Electroconvulsive therapy (ECT), which can be effective in cases where other treatments have failed.
  • Question: What is the main goal of psychoanalysis as a form of therapy?
  • Answer: To uncover and understand unconscious thoughts and feelings that influence behavior, helping individuals gain insight into their emotional issues.
  • Question: What role does primary care play in mental health care?
  • Answer: Primary care providers often serve as the first point of contact for mental health concerns, diagnosing, treating mild to moderate conditions, and referring patients to specialists when needed.
  • Question: What is an example of a preventive measure in mental health care?
  • Answer: Implementing community-based wellness programs to promote mental health awareness and reduce the risk of developing serious mental illnesses.
  • Question: How do peer support specialists contribute to mental health treatment?
  • Answer: By providing lived-experience support, they help individuals feel understood, build trust, and encourage hope and recovery.
  • Question: What is a common diagnostic tool used by mental health professionals to assess a patient’s mental health?
  • Answer: Structured interviews such as the Mini International Neuropsychiatric Interview (MINI) or standardized assessment scales like the Beck Depression Inventory (BDI).
  • Question: What is the purpose of a mental health intake assessment?
  • Answer: To gather detailed information about a patient’s medical and psychological history, current symptoms, and treatment needs to create a comprehensive care plan.
  • Question: How does trauma impact mental health?
  • Answer: Trauma can lead to a variety of mental health issues, including PTSD, anxiety, depression, and difficulties with emotional regulation.
  • Question: What is the main focus of cognitive remediation therapy?
  • Answer: To improve cognitive functions such as memory, attention, and problem-solving skills, particularly for those with severe mental disorders like schizophrenia.
  • Question: What does “continuity of care” ensure in mental health treatment?
  • Answer: That a patient’s care is consistent and seamless across different levels of services and providers.
  • Question: What is the difference between bipolar I and bipolar II disorder?
  • Answer: Bipolar I disorder involves at least one manic episode, while bipolar II disorder involves hypomanic episodes and major depressive episodes without full-blown mania.
  • Question: What are “mental health disparities”?
  • Answer: Differences in the quality of mental health care and outcomes experienced by different groups due to factors such as race, ethnicity, income, and geographic location.
  • Question: Why is cultural competence important in mental health care?
  • Answer: It helps providers deliver effective and respectful treatment that considers the patient’s cultural beliefs, values, and experiences.
  • Question: What is one key feature of dialectical behavior therapy (DBT)?
  • Answer: It emphasizes the balance between acceptance and change, helping individuals regulate emotions and improve interpersonal effectiveness.
  • Question: What are some of the common co-occurring disorders associated with substance use?
  • Answer: Depression, anxiety disorders, PTSD, and other mood disorders.
  • Question: What is the main goal of mental health advocacy?
  • Answer: To promote policies that support mental health care access, reduce stigma, and secure resources for treatment and research.
  • Question: What does “early psychosis intervention” aim to do?
  • Answer: To detect and treat the first signs of psychosis early, improving long-term outcomes and reducing the risk of chronic mental illness.
  • Question: What is the primary objective of health education in mental health promotion?
  • Answer: To inform and empower individuals with knowledge and skills to manage their mental health effectively and reduce the risk of developing disorders.
  • Question: What are “evidence-based treatments”?
  • Answer: Therapies and interventions that have been scientifically tested and shown to be effective for treating specific mental health conditions.
  • Question: What is an important consideration when treating elderly patients with mental health issues?
  • Answer: Recognizing the impact of age-related factors, such as cognitive decline, medical conditions, and potential isolation, which can affect treatment approaches.
  • Question: How do mental health treatment plans typically get developed?
  • Answer: By assessing a patient’s needs, setting clear and achievable treatment goals, and outlining specific interventions and therapies to achieve those goals.
  • Question: What is the significance of the term “mental health parity” for insurance policies?
  • Answer: It ensures that mental health and substance use disorder services are provided at the same level of coverage as other medical services.
  • Question: What is a key benefit of group therapy?
  • Answer: It provides individuals with a shared sense of support and understanding and fosters social interaction and skill development.
  • Question: What role do genetic and environmental factors play in mental health?
  • Answer: Both contribute to the risk of developing mental health disorders, with genetics influencing susceptibility and environmental factors playing a significant role in triggering or exacerbating conditions.
  • Question: What is the difference between “psychosis” and “neurosis”?
  • Answer: Psychosis is characterized by a loss of contact with reality, while neurosis involves anxiety and stress without losing touch with reality.
  • Question: What does a holistic approach to mental health care involve?
  • Answer: Addressing not just the psychological aspects, but also the physical, social, and spiritual well-being of the patient.
  • Question: What is a significant advantage of using smartphone apps for mental health support?
  • Answer: They provide convenient, accessible, and sometimes anonymous resources for managing stress, anxiety, and other mental health concerns.
  • Question: What type of therapy is often used to help patients process traumatic experiences?
  • Answer: Eye Movement Desensitization and Reprocessing (EMDR) therapy.
  • Question: What does “mental health literacy” refer to?
  • Answer: The knowledge and understanding of mental health issues, including how to recognize symptoms, seek help, and support others.
  • Question: What is a “mental health navigator”?
  • Answer: A professional who assists individuals in finding and accessing the appropriate mental health services and resources.

 

  1. Because mental health care is not covered in Australia under the basic health plan, which citizens are more likely to receive mental health care?
    a. Wealthy
    b. Homeless
    c. Disabled
    d. Low-income

 

  1. Mental health care is available under the universal health care system in Britain, which is funded primarily by:
    a. Employers
    b. Private donations
    c. Small businesses
    d. Tax revenues

 

  1. 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.
    a. Community support systems
    b. Case management
    c. Multidisciplinary health care team
    d. Client population
  2. 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. Which component of the case management system does this demonstrate?
    a. Consultation
    b. Crisis intervention
    c. Resource linkage
    d. Psychosocial rehabilitation

 

  1. A client with a severe, treatment-resistant mental illness has been assigned to an assertive community treatment (ACT) team. An ACT treatment strategy that helps to prevent recurrent hospitalizations for mental health reasons is to meet with the client in the community setting _____ per week.
    a. Once
    b. Two to four times
    c. Five to six times
    d. Seven to eight times

 

  1. Which member of the multidisciplinary mental health 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?
    a. Psychiatric nurse
    b. Clinical psychologist
    c. Psychiatrist
    d. Psychiatric social worker

 

  1. It is estimated that approximately __________ of adults experience some form of mental or emotional disorder.
    a. 11%
    b. 19%
    c. 27%
    d. 35%

 

  1. 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 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
    c. A predetermined length of time based on the diagnosis
    d. 2 to 4 weeks

 

  1. 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 two more house payments, and if she does not find a job, she fears she will become homeless. The nurse knows that this client falls in the group of nearly __________ of U.S. citizens who live below poverty level.
    a. 1%
    b. 6%
    c. 12%
    d. 25%

 

  1. Addiction to recreational drugs, such as crack, cocaine, and heroin, combined with use of psychotherapeutic drugs is associated with:
    a. Permanent psychotic states
    b. Bipolar disorder
    c. Generalized anxiety disorder
    d. Obsessive-compulsive disorder

 

  1. A female client who is undergoing therapy for depression is divorced and has two children, ages 2 and 4. She has just enrolled in a local community college and is worried about providing food and clothes for her family while holding down a minimum wage job and also devoting the time needed to be successful in school. The nurse determines that the best community resource for assisting this client to meet these needs is:
    a. A shelter for victims of domestic violence
    b. Women, Infants, and Children (WIC)
    c. Family-planning agency
    d. Family recreation center

 

  1. The home care nurse is providing care to an older adult client with a diagnosis of depression who is caring for his wife who has Alzheimer’s disease. He states that he hardly has enough energy to cook and clean the house. The couple has no children, and no relatives live within a close distance. Which community agency would be of greatest benefit to this client?
    a. A recreational club
    b. An adult education program
    c. A daycare center for elderly
    d. Meals on Wheels

 

  1. A 9-year-old girl is given the diagnosis of depression. 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 be the best choice to assist in this situation?
    a. Psychiatric assistant
    b. Dietitian
    c. Occupational therapist
    d. Expressive therapist

 

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

 

  1. A woman is admitted to an inpatient psychiatric unit after a suicide attempt by overdose. The primary rationale for her admission is to:
    a. Have limited supervision by health care personnel.
    b. Maintain responsibility for her own behavior.
    c. Receive treatment in the least restrictive manner.
    d. Provide her with a safe and secure environment.
    ANS: D

 

  1. A client suffering from chronic mental illness often forgets to take her medication and needs to be reminded to take care of daily hygiene. She does not have family or other support persons living in the area. The care delivery provider facility that would be most beneficial for this client is:
    a. Emergency departments
    b. Residential program
    c. Community mental health center
    d. Psychiatric home care

 

  1. 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 police found him threatening passengers on a bus. This is his fourth admission in 3 months. This frequent re-hospitalization is an example of:
    a. Recidivism
    b. Symptom exacerbation
    c. Noncompliance
    d. Rejection

 

  1. Arranging community resource linkages for a client and her children who are victims of domestic violence, which resource would be the most immediately appropriate community resource link for a client and her children who are victims of domestic violence?
    a. Adult education program
    b. Family recreation center
    c. Mediation group
    d. Women’s shelter

 

  1. Which principles characterize mental health care in Canada? (Select all that apply.)
    a. Portability
    b. Universality
    c. Accessibility
    d. Comprehensiveness
    e. Private insurance models
    f. Public administration

 

  1. In the United States, which factors determine whether a client requires inpatient rather than outpatient care? (Select all that apply.)
    a. Severity of the illness
    b. Level of dysfunction
    c. Suitability of the setting for treating the problem
    d. Anticipated diagnosis
    e. Level of client cooperation
    f. Ability to pay

 

  1. Which client populations are at greater risk for the development of mental health disorders? (Select all that apply.)
    a. Homeless
    b. Clients infected with HIV or AIDS
    c. Those in crisis
    d. Nurses
    e. Clients living in rural areas
    f. Older adults
    g. Psychiatrists
    h. Children

 

  1. The case management for a client requiring community mental health services would include which of the following? (Select all that apply.)
    a. Advocacy
    b. Crisis intervention
    c. Provision of referrals to a shelter
    d. Administration of psychotropic medications
    e. Developing a client’s plan of care

 

COMPLETION

  1. The __________ therapist of the mental health team uses methods such as pet therapy and music therapy when working with clients and is responsible for providing leisure-time activities and for teaching inpatient clients useful ways to pass time.

 

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