Psych CH9, 10, & 11
nur 448 fully solved &
verified for accuracy
2025-2026
9 Which disorder is the leading psychiatric cause of disability in the world?
a. Depression
b. Schizophrenia
c. Bipolar disorder
d. Obsessive-compulsive disorder - answer ANS: A
A large international study found that depression was the number one
psychiatric cause of disability in the world. Four other psychiatric
disorders also were among the top 10, including alcohol abuse, bipolar
disorder, schizophrenia, and obsessive-compulsive disorder.
DIF: Cognitive Level: Knowledge REF: Text Page: 127
TOP: Nursing Process: N/A MSC: NCLEX: Health Promotion and Screening
9 Health professionals planning treatment initiatives should be most
concerned with the burden of disease created by:
a. violence and injury.
b. environmental quality.
c. behavioral health problems.
d. irresponsible sexual behavior. - answer ANS: C
Depression ranks as the second most common cause of disability
measured in disability-adjusted life years in the United States, and four
other psychiatric disorders are in the top 10 worldwide, including alcohol
use, bipolar disorder, schizophrenia, and obsessive-compulsive disorder.
,DIF: Cognitive Level: Comprehension REF: Text Page: 129
TOP: Nursing Process: Planning
MSC: NCLEX: Safe, Effective Care Environment: Management of Care
9 Managed behavioral health care settings are involved in:
a. health care reform.
b. universal health care.
c. health care for the underserved.
d. treating mental and substance abuse disorders. - answer ANS: D
Behavioral health covers both mental illness and substance abuse
disorders.
DIF: Cognitive Level: Comprehension REF: Text Page: 129
TOP: Nursing Process: N/A
MSC: NCLEX: Safe, Effective Care Environment: Management of Care
9 A committee is formed to increase the public's understanding that
mental health is essential to overall health. A nurse would expect that the
focus of this group's work would be:
a. improving access to quality care that is culturally competent.
b. protecting and enhancing the rights of people with mental illness.
c. developing and implementing integrated electronic health record and
personal health information systems.
d. collaborating with the emergency department to treat mental health
problems with the same urgency as physical health problems. - answer
ANS: D
Recommendations of the New Freedom Commission on Mental Health
would address the means of having mental health issues handled with the
same urgency as physical health issues.
DIF: Cognitive Level: Application REF: Text Pages: 128-130
TOP: Nursing Process: Planning
,MSC: NCLEX: Safe, Effective Care Environment: Management of Care
9 A patient receiving mental health services complains about having to
get a referral from a primary care physician in order to obtain mental
health services. The nurse should explain to the patient that this is a cost
control practice used in managed care that is described as:
a. gatekeeping.
b. utilization review.
c. case management.
d. preadmission certification. - answer ANS: A
Gatekeeping is a process that limits direct access to specialists, hospitals,
and expensive procedures. Patients select a primary care provider who
manages everyday care and is a gatekeeper for referral to other health
care providers.
DIF: Cognitive Level: Comprehension REF: Text Page: 129
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Management of Care
9 A patient tells a nurse, "I belong to a health maintenance organization
(HMO) that advertises being a capitated system. What does that mean?"
The nurse replies:
a. "It's complicated but if you like I'll have the payments office discuss it
with you."
b. "You pay a sliding fee for each illness based on your monthly take-home
income."
c. "You pay a fixed fee per month while the HMO provides all medically
necessary care."
d. "The HMO pays your physician a flat fee for a particular episode of
illness regardless of the number of office visits you make." - answer ANS:
C
Capitation calls for the consumer to pay a fixed fee or a per-member-per-
month premium. In return, the managed care company agrees to provide
all medically necessary health care for all covered people.
, DIF: Cognitive Level: Comprehension REF: Text Page: 129
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Management of Care
9 To work effectively within the health care system, a nurse must
understand the current interface between mental health care and the
environment. Which statement accurately reflects this interface?
a. The once simple system has grown from two to six parts, which has
significantly complicated the interface.
b. Biases on the part of providers have largely been abolished, greatly
improving the effectiveness of the interface.
c. Reimbursers and insurers are primarily concerned with protecting the
patient's constitutional rights regarding access to care and treatment
received.
d. In general, families are becoming less concerned with education and
empowerment for family members who are patients. - answer ANS: A
The interface between mental health care and the environment has
become increasingly complex in recent years. It once consisted only of
mental health providers and patients, but the interface now includes
patients, providers, families, reimbursers and insurers, lawmakers and
regulators, and the judiciary; each of these components has its own
agenda.
DIF: Cognitive Level: Comprehension REF: Text Page: 127
TOP: Nursing Process: N/A
MSC: NCLEX: Safe, Effective Care Environment: Management of Care
9 In many rural communities the ratio of consumers to doctors is higher
than it is in cities. This is an example of:
a. a health access problem in rural areas.
b. a lack of compassion among physicians.
c. reimbursement barriers in rural states.
d. appropriate distribution of health care providers. - answer ANS: A
nur 448 fully solved &
verified for accuracy
2025-2026
9 Which disorder is the leading psychiatric cause of disability in the world?
a. Depression
b. Schizophrenia
c. Bipolar disorder
d. Obsessive-compulsive disorder - answer ANS: A
A large international study found that depression was the number one
psychiatric cause of disability in the world. Four other psychiatric
disorders also were among the top 10, including alcohol abuse, bipolar
disorder, schizophrenia, and obsessive-compulsive disorder.
DIF: Cognitive Level: Knowledge REF: Text Page: 127
TOP: Nursing Process: N/A MSC: NCLEX: Health Promotion and Screening
9 Health professionals planning treatment initiatives should be most
concerned with the burden of disease created by:
a. violence and injury.
b. environmental quality.
c. behavioral health problems.
d. irresponsible sexual behavior. - answer ANS: C
Depression ranks as the second most common cause of disability
measured in disability-adjusted life years in the United States, and four
other psychiatric disorders are in the top 10 worldwide, including alcohol
use, bipolar disorder, schizophrenia, and obsessive-compulsive disorder.
,DIF: Cognitive Level: Comprehension REF: Text Page: 129
TOP: Nursing Process: Planning
MSC: NCLEX: Safe, Effective Care Environment: Management of Care
9 Managed behavioral health care settings are involved in:
a. health care reform.
b. universal health care.
c. health care for the underserved.
d. treating mental and substance abuse disorders. - answer ANS: D
Behavioral health covers both mental illness and substance abuse
disorders.
DIF: Cognitive Level: Comprehension REF: Text Page: 129
TOP: Nursing Process: N/A
MSC: NCLEX: Safe, Effective Care Environment: Management of Care
9 A committee is formed to increase the public's understanding that
mental health is essential to overall health. A nurse would expect that the
focus of this group's work would be:
a. improving access to quality care that is culturally competent.
b. protecting and enhancing the rights of people with mental illness.
c. developing and implementing integrated electronic health record and
personal health information systems.
d. collaborating with the emergency department to treat mental health
problems with the same urgency as physical health problems. - answer
ANS: D
Recommendations of the New Freedom Commission on Mental Health
would address the means of having mental health issues handled with the
same urgency as physical health issues.
DIF: Cognitive Level: Application REF: Text Pages: 128-130
TOP: Nursing Process: Planning
,MSC: NCLEX: Safe, Effective Care Environment: Management of Care
9 A patient receiving mental health services complains about having to
get a referral from a primary care physician in order to obtain mental
health services. The nurse should explain to the patient that this is a cost
control practice used in managed care that is described as:
a. gatekeeping.
b. utilization review.
c. case management.
d. preadmission certification. - answer ANS: A
Gatekeeping is a process that limits direct access to specialists, hospitals,
and expensive procedures. Patients select a primary care provider who
manages everyday care and is a gatekeeper for referral to other health
care providers.
DIF: Cognitive Level: Comprehension REF: Text Page: 129
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Management of Care
9 A patient tells a nurse, "I belong to a health maintenance organization
(HMO) that advertises being a capitated system. What does that mean?"
The nurse replies:
a. "It's complicated but if you like I'll have the payments office discuss it
with you."
b. "You pay a sliding fee for each illness based on your monthly take-home
income."
c. "You pay a fixed fee per month while the HMO provides all medically
necessary care."
d. "The HMO pays your physician a flat fee for a particular episode of
illness regardless of the number of office visits you make." - answer ANS:
C
Capitation calls for the consumer to pay a fixed fee or a per-member-per-
month premium. In return, the managed care company agrees to provide
all medically necessary health care for all covered people.
, DIF: Cognitive Level: Comprehension REF: Text Page: 129
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Management of Care
9 To work effectively within the health care system, a nurse must
understand the current interface between mental health care and the
environment. Which statement accurately reflects this interface?
a. The once simple system has grown from two to six parts, which has
significantly complicated the interface.
b. Biases on the part of providers have largely been abolished, greatly
improving the effectiveness of the interface.
c. Reimbursers and insurers are primarily concerned with protecting the
patient's constitutional rights regarding access to care and treatment
received.
d. In general, families are becoming less concerned with education and
empowerment for family members who are patients. - answer ANS: A
The interface between mental health care and the environment has
become increasingly complex in recent years. It once consisted only of
mental health providers and patients, but the interface now includes
patients, providers, families, reimbursers and insurers, lawmakers and
regulators, and the judiciary; each of these components has its own
agenda.
DIF: Cognitive Level: Comprehension REF: Text Page: 127
TOP: Nursing Process: N/A
MSC: NCLEX: Safe, Effective Care Environment: Management of Care
9 In many rural communities the ratio of consumers to doctors is higher
than it is in cities. This is an example of:
a. a health access problem in rural areas.
b. a lack of compassion among physicians.
c. reimbursement barriers in rural states.
d. appropriate distribution of health care providers. - answer ANS: A
