Mental Health - Exam 1 Questions &
Answers
Mental health & mental illness - ANSWERSMental 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) - ANSWERS1. 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: - ANSWERS1. 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 - ANSWERSTaxonomy 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) -
ANSWERS1. 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? -
ANSWERSFalse
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 - ANSWERSdemonic possession, sin, or weakness, and
people were punished accordingly
Period of enlightenment (1790s) - ANSWERS-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 -
ANSWERSdevelopment of psychotropic drugs in the early 1950's
The shift from institutional care to care in the community began in the - ANSWERS1960'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 - ANSWERSDecrease in admission to hospitals and the development of
community-based services as an alternative
Mental illness & the 21st century (6) - ANSWERS1. 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: - ANSWERS*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. - ANSWERSA. 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) - ANSWERS1. 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*
Answers
Mental health & mental illness - ANSWERSMental 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) - ANSWERS1. 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: - ANSWERS1. 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 - ANSWERSTaxonomy 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) -
ANSWERS1. 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? -
ANSWERSFalse
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 - ANSWERSdemonic possession, sin, or weakness, and
people were punished accordingly
Period of enlightenment (1790s) - ANSWERS-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 -
ANSWERSdevelopment of psychotropic drugs in the early 1950's
The shift from institutional care to care in the community began in the - ANSWERS1960'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 - ANSWERSDecrease in admission to hospitals and the development of
community-based services as an alternative
Mental illness & the 21st century (6) - ANSWERS1. 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: - ANSWERS*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. - ANSWERSA. 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) - ANSWERS1. 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*
