MIDTERM CHAPTER REVIEW
QUESTION EXAM: SWIFT RIVER
MENTAL HEALTH, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
A patient with schizophrenia does not feel that he needs
medication because there's nothing wrong with me. This response
is most likely an example of:
A. Denial
B. Projection
C. Anosognosia
D. Paranoid ideation - CORRECT ANSWERS- C
Sarah, a young woman with schizophrenia who has struggled with
hygiene and other activities of daily living, has been on a four
hour pass. She is tearful and reports that when she sat down on
the bus to return to the hospital, the woman she sat next to
immediately move to another seat. Which responses would most
likely be therapeutic? Select all that apply.
A. Acknowledge Sarah's distress, and remind her that dinner will
be ready in 30 minutes so that she has time to settle in before
eating
,B. State, you sound discouraged. Sometimes people who do not
understand mental onus can be hurtful, and offered to sit with her
C. Advise Sarah that the woman's behaviour was simply rude and
can be ignored because it is something people with mental illness
have to get used to
D. Suggest Sarah that perhaps her hygiene would benefit from
improvement, and offered to help her improve her hygiene so
that others will be less likely to - CORRECT ANSWERS- B, d
Christopher is a 25-year-old male who has been hospitalized three
times for exacerbations of schizophrenia. Each time he was
discharged, he became homeless and relapsed. Typically he is
very disorganized, does not spend his money responsibly, loses
his housing when he does not pay the rent, and, in turn, cannot
be located by his case manager, leading to treatment
nonadherence and relapse. Which response would be most
therapeutic in this situation?
A. Advise Christopher that if he does not pay his rent, he will be
placed in a group home instead of independent housing
B. Discuss with Christopher the option of having a guardian who
will ensure that the rent is paid and that his money is managed to
meet his basic needs
C. Suggested Christophers prescribing clinician that he be placed
on a long acting injectable form of antipsychotic medication to
address the issue of treatment nonadherence
D. Encourage Christopher's cas - CORRECT ANSWERS- B
,Pia has experienced repeated episodes of severe depression and
mania. These episodes and related hospitalizations have
disrupted her full-time employment and create a discord within
her marriage. She argues with the outpatient staff about
medications, does not believe that she has a mental illness, and
although she takes her medications were hospitalized stops
taking them after discharge. She will be discharged in two weeks.
Which intervention is most likely to increase her adherence to
medications?
A. Advise Pia that she will be assigned to new outpatient staff to
reduce the complex she is experiencing with her current providers
B. Explain to Pia that the medications will help her and that all
medications have adverse effects she can learn to live with in
time
C. Involve Pia in a medication education group that will help her
learn the types of names of psychotropic medications, their
purpose, and possible adverse e - CORRECT ANSWERS- D
Which interventions would be appropriate to promote recovery for
persons with serious mental illness who live in the community?
Select all that apply.
A. Meet regularly with the patient and encourage them to make
steady progress toward complete independence
B. Introduce patients to others with similar illnesses, and
encourage participation in social activities with peers
, C. Support the development of advanced directives and
involvement in social and employment activities run by other
patients
D. Use public transportation to take patients to a museum, and
share a nutritious dinner with them at an inexpensive restaurant
E. Instruct them to develop written plans that identify resources
to maintain stability and steps to take when faced with unusual
stressors
F. Over time, guide the patients to identify and switch to sources
of support outside the family to reduce dependence on their loved
ones as their primary support - CORRECT ANSWERS- C, f
Resilience, the capacity to rebound from stressors via adaptive
coping, is associated with positive mental health. Your friend has
just been laid off from his job. Which of the following responses on
your part would most likely contribute to his enhanced resilience?
a. using your connections to set up an interview with your
employer
b. connecting him with a friend of the family who owns his own
business
c. supporting him in arranging, preparing for, and completing
multiple interviews
d. helping him to understand that the layoff resulted from
troubles in the economy and is not his fault - CORRECT ANSWERS-
C
QUESTION EXAM: SWIFT RIVER
MENTAL HEALTH, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
A patient with schizophrenia does not feel that he needs
medication because there's nothing wrong with me. This response
is most likely an example of:
A. Denial
B. Projection
C. Anosognosia
D. Paranoid ideation - CORRECT ANSWERS- C
Sarah, a young woman with schizophrenia who has struggled with
hygiene and other activities of daily living, has been on a four
hour pass. She is tearful and reports that when she sat down on
the bus to return to the hospital, the woman she sat next to
immediately move to another seat. Which responses would most
likely be therapeutic? Select all that apply.
A. Acknowledge Sarah's distress, and remind her that dinner will
be ready in 30 minutes so that she has time to settle in before
eating
,B. State, you sound discouraged. Sometimes people who do not
understand mental onus can be hurtful, and offered to sit with her
C. Advise Sarah that the woman's behaviour was simply rude and
can be ignored because it is something people with mental illness
have to get used to
D. Suggest Sarah that perhaps her hygiene would benefit from
improvement, and offered to help her improve her hygiene so
that others will be less likely to - CORRECT ANSWERS- B, d
Christopher is a 25-year-old male who has been hospitalized three
times for exacerbations of schizophrenia. Each time he was
discharged, he became homeless and relapsed. Typically he is
very disorganized, does not spend his money responsibly, loses
his housing when he does not pay the rent, and, in turn, cannot
be located by his case manager, leading to treatment
nonadherence and relapse. Which response would be most
therapeutic in this situation?
A. Advise Christopher that if he does not pay his rent, he will be
placed in a group home instead of independent housing
B. Discuss with Christopher the option of having a guardian who
will ensure that the rent is paid and that his money is managed to
meet his basic needs
C. Suggested Christophers prescribing clinician that he be placed
on a long acting injectable form of antipsychotic medication to
address the issue of treatment nonadherence
D. Encourage Christopher's cas - CORRECT ANSWERS- B
,Pia has experienced repeated episodes of severe depression and
mania. These episodes and related hospitalizations have
disrupted her full-time employment and create a discord within
her marriage. She argues with the outpatient staff about
medications, does not believe that she has a mental illness, and
although she takes her medications were hospitalized stops
taking them after discharge. She will be discharged in two weeks.
Which intervention is most likely to increase her adherence to
medications?
A. Advise Pia that she will be assigned to new outpatient staff to
reduce the complex she is experiencing with her current providers
B. Explain to Pia that the medications will help her and that all
medications have adverse effects she can learn to live with in
time
C. Involve Pia in a medication education group that will help her
learn the types of names of psychotropic medications, their
purpose, and possible adverse e - CORRECT ANSWERS- D
Which interventions would be appropriate to promote recovery for
persons with serious mental illness who live in the community?
Select all that apply.
A. Meet regularly with the patient and encourage them to make
steady progress toward complete independence
B. Introduce patients to others with similar illnesses, and
encourage participation in social activities with peers
, C. Support the development of advanced directives and
involvement in social and employment activities run by other
patients
D. Use public transportation to take patients to a museum, and
share a nutritious dinner with them at an inexpensive restaurant
E. Instruct them to develop written plans that identify resources
to maintain stability and steps to take when faced with unusual
stressors
F. Over time, guide the patients to identify and switch to sources
of support outside the family to reduce dependence on their loved
ones as their primary support - CORRECT ANSWERS- C, f
Resilience, the capacity to rebound from stressors via adaptive
coping, is associated with positive mental health. Your friend has
just been laid off from his job. Which of the following responses on
your part would most likely contribute to his enhanced resilience?
a. using your connections to set up an interview with your
employer
b. connecting him with a friend of the family who owns his own
business
c. supporting him in arranging, preparing for, and completing
multiple interviews
d. helping him to understand that the layoff resulted from
troubles in the economy and is not his fault - CORRECT ANSWERS-
C
