Mental Health Exam #1 (CH 1-8) Questions with
Answers.
The nurse is assessing the factors contributing to the well-being of a newly admitted client.
Which of the following would the nurse identify as having a positive impact on the
individual's mental health?
A) Not needing others for companionship
B) The ability to effectively manage stress
C) A family history of mental illness
D) Striving for total self-reliance - ANS B) The ability to effectively manage stress
Which of the following statements about mental illness are true? Select all that apply.
A) Mental illness can cause significant distress, impaired functioning, or both.
B) Mental illness is only due to social/cultural factors.
C) Social/cultural factors that relate to mental illness include excessive dependency on or
withdrawal from relationships.
D) Individuals suffering from mental illness are usually able to cope effectively with daily
life.
E) Individuals suffering from mental illness may experience dissatisfaction with
relationships and self. - ANS A) Mental illness can cause significant distress, impaired
functioning, or both.
D) Individuals suffering from mental illness are usually able to cope effectively with daily
life.
E) Individuals suffering from mental illness may experience dissatisfaction with
relationships and self.
Which of the following are true regarding mental health and mental illness?
A) Behavior that may be viewed as acceptable in one culture is always unacceptable in
other cultures.
B) It is easy to determine if a person is mentally healthy or mentally ill.
C) In most cases, mental health is a state of emotional, psychological, and social wellness
evidenced by satisfying interpersonal relationships, effective behavior and coping,
positive self-concept, and emotional stability.
,D) Persons who engage in fantasies are mentally ill. - ANS C) In most cases, mental
health is a state of emotional, psychological, and social wellness evidenced by satisfying
interpersonal relationships, effective behavior and coping, positive self-concept, and
emotional stability.
A client grieving the recent loss of her husband asks if she is becoming mentally ill
because she is so sad. The nurse's best response would be,
A) ìYou may have a temporary mental illness because you are experiencing so much
pain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
experienced.î
C) ìWere you generally dissatisfied with your relationship before your husband's death?î
D) ìTry not to worry about that right now. You never know what the future brings.î - ANS B)
ìYou are not mentally ill. This is an expected reaction to the loss you have experienced.î
The nurse consults the DSM for which of the following purposes?
A) To devise a plan of care for a newly admitted client
B) To predict the client's prognosis of treatment outcomes
C) To document the appropriate diagnostic code in the client's medical record
D) To serve as a guide for client assessment - ANS D) To serve as a guide for client
assessment
Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treat clients
C) Evaluate treatments
D) Understand the reason for the admission and the nature of psychiatric illnesses. - ANS
D) Understand the reason for the admission and the nature of psychiatric illnesses.
The legislation enacted in 1963 was largely responsible for which of the following shifts in
care for the mentally ill?
A) The widespread use of community-based services
B) The advancement in pharmacotherapies
,C) Increased access to hospitalization
D) Improved rights for clients in long-term institutional care - ANS A) The widespread use
of community-based services
Which one of the following is a result of federal legislation?
A) Making it easier to commit people for mental health treatment against their will.
B) Making it more difficult to commit people for mental health treatment against their will.
C) State mental institutions being the primary source of care for mentally ill persons.
D) Improved care for mentally ill persons. - ANS B) Making it more difficult to commit
people for mental health treatment against their will.
The goal of the 1963 Community Mental Health Centers Act was to
A) ensure patients' rights for the mentally ill.
B) deinstitutionalize state hospitals.
C) provide funds to build hospitals with psychiatric units.
D) treat people with mental illness in a humane fashion. - ANS B) deinstitutionalize state
hospitals.
The creation of asylums during the 1800s was meant to
A) improve treatment of mental disorders.
B) provide food and shelter for the mentally ill.
C) punish people with mental illness who were believed to be possessed.
D) remove dangerous people with mental illness from the community. - ANS B) provide
food and shelter for the mentally ill.
The major problems with large state institutions are: Select all that apply.
A) attendants were accused of abusing the residents.
B) stigma associated with residence in an insane asylum.
C) clients were geographically isolated from family and community.
D) increasing financial costs to individual residents. - ANS A) attendants were accused of
abusing the residents.
C) clients were geographically isolated from family and community.
, A significant change in the treatment of people with mental illness occurred in the 1950s
when
A) community support services were established.
B) legislation dramatically changed civil commitment procedures.
C) the Patient's Bill of Rights was enacted.
D) psychotropic drugs became available for use. - ANS D) psychotropic drugs became
available for use.
Before the period of the enlightenment, treatment of the mentally ill included A) creating
large institutions to provide custodial care.
B) focusing on religious education to improve their souls.
C) placing the mentally ill on display for the public's amusement.
D) providing a safe refuge or haven offering protection. - ANS C) placing the mentally ill on
display for the public's amusement.
The first training of nurses to work with persons with mental illness was in 1882 in which
state?
A) California
B) Illinois
C) Massachusetts
D) New York - ANS C) Massachusetts
What is meant by the term ìrevolving door effectî in mental health care?
A) An overall reduction in incidence of severe mental illness
B) Shorter and more frequent hospital stays for persons with severe and persistent mental
illness
C) Flexible treatment settings for mentally ill
D) Most effective and least expensive treatment settings - ANS B) Shorter and more
frequent hospital stays for persons with severe and persistent mental illness
Which of the following statements is true of treatment of people with mental illness in the
United States today?
Answers.
The nurse is assessing the factors contributing to the well-being of a newly admitted client.
Which of the following would the nurse identify as having a positive impact on the
individual's mental health?
A) Not needing others for companionship
B) The ability to effectively manage stress
C) A family history of mental illness
D) Striving for total self-reliance - ANS B) The ability to effectively manage stress
Which of the following statements about mental illness are true? Select all that apply.
A) Mental illness can cause significant distress, impaired functioning, or both.
B) Mental illness is only due to social/cultural factors.
C) Social/cultural factors that relate to mental illness include excessive dependency on or
withdrawal from relationships.
D) Individuals suffering from mental illness are usually able to cope effectively with daily
life.
E) Individuals suffering from mental illness may experience dissatisfaction with
relationships and self. - ANS A) Mental illness can cause significant distress, impaired
functioning, or both.
D) Individuals suffering from mental illness are usually able to cope effectively with daily
life.
E) Individuals suffering from mental illness may experience dissatisfaction with
relationships and self.
Which of the following are true regarding mental health and mental illness?
A) Behavior that may be viewed as acceptable in one culture is always unacceptable in
other cultures.
B) It is easy to determine if a person is mentally healthy or mentally ill.
C) In most cases, mental health is a state of emotional, psychological, and social wellness
evidenced by satisfying interpersonal relationships, effective behavior and coping,
positive self-concept, and emotional stability.
,D) Persons who engage in fantasies are mentally ill. - ANS C) In most cases, mental
health is a state of emotional, psychological, and social wellness evidenced by satisfying
interpersonal relationships, effective behavior and coping, positive self-concept, and
emotional stability.
A client grieving the recent loss of her husband asks if she is becoming mentally ill
because she is so sad. The nurse's best response would be,
A) ìYou may have a temporary mental illness because you are experiencing so much
pain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
experienced.î
C) ìWere you generally dissatisfied with your relationship before your husband's death?î
D) ìTry not to worry about that right now. You never know what the future brings.î - ANS B)
ìYou are not mentally ill. This is an expected reaction to the loss you have experienced.î
The nurse consults the DSM for which of the following purposes?
A) To devise a plan of care for a newly admitted client
B) To predict the client's prognosis of treatment outcomes
C) To document the appropriate diagnostic code in the client's medical record
D) To serve as a guide for client assessment - ANS D) To serve as a guide for client
assessment
Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treat clients
C) Evaluate treatments
D) Understand the reason for the admission and the nature of psychiatric illnesses. - ANS
D) Understand the reason for the admission and the nature of psychiatric illnesses.
The legislation enacted in 1963 was largely responsible for which of the following shifts in
care for the mentally ill?
A) The widespread use of community-based services
B) The advancement in pharmacotherapies
,C) Increased access to hospitalization
D) Improved rights for clients in long-term institutional care - ANS A) The widespread use
of community-based services
Which one of the following is a result of federal legislation?
A) Making it easier to commit people for mental health treatment against their will.
B) Making it more difficult to commit people for mental health treatment against their will.
C) State mental institutions being the primary source of care for mentally ill persons.
D) Improved care for mentally ill persons. - ANS B) Making it more difficult to commit
people for mental health treatment against their will.
The goal of the 1963 Community Mental Health Centers Act was to
A) ensure patients' rights for the mentally ill.
B) deinstitutionalize state hospitals.
C) provide funds to build hospitals with psychiatric units.
D) treat people with mental illness in a humane fashion. - ANS B) deinstitutionalize state
hospitals.
The creation of asylums during the 1800s was meant to
A) improve treatment of mental disorders.
B) provide food and shelter for the mentally ill.
C) punish people with mental illness who were believed to be possessed.
D) remove dangerous people with mental illness from the community. - ANS B) provide
food and shelter for the mentally ill.
The major problems with large state institutions are: Select all that apply.
A) attendants were accused of abusing the residents.
B) stigma associated with residence in an insane asylum.
C) clients were geographically isolated from family and community.
D) increasing financial costs to individual residents. - ANS A) attendants were accused of
abusing the residents.
C) clients were geographically isolated from family and community.
, A significant change in the treatment of people with mental illness occurred in the 1950s
when
A) community support services were established.
B) legislation dramatically changed civil commitment procedures.
C) the Patient's Bill of Rights was enacted.
D) psychotropic drugs became available for use. - ANS D) psychotropic drugs became
available for use.
Before the period of the enlightenment, treatment of the mentally ill included A) creating
large institutions to provide custodial care.
B) focusing on religious education to improve their souls.
C) placing the mentally ill on display for the public's amusement.
D) providing a safe refuge or haven offering protection. - ANS C) placing the mentally ill on
display for the public's amusement.
The first training of nurses to work with persons with mental illness was in 1882 in which
state?
A) California
B) Illinois
C) Massachusetts
D) New York - ANS C) Massachusetts
What is meant by the term ìrevolving door effectî in mental health care?
A) An overall reduction in incidence of severe mental illness
B) Shorter and more frequent hospital stays for persons with severe and persistent mental
illness
C) Flexible treatment settings for mentally ill
D) Most effective and least expensive treatment settings - ANS B) Shorter and more
frequent hospital stays for persons with severe and persistent mental illness
Which of the following statements is true of treatment of people with mental illness in the
United States today?
