6TEST BANK
Foundations of Mental Health Care
Michelle Morrison-Valfre
6th Edition
Chapter 33: Challenges for the Future
,Morrison-Valfre: Foundations of Mental Health Care, 6th Edition
MULTIPLE CHOICE
1. The need for mental health applies to:
a. All persons
b. People with illnesses
c. All married persons
d. People with mental problems
ANS: A
The need for mental health applies to all people. Every person experiences periods of emotional turmoil and
crises, and, at some time, most individuals need some assistance with coping strategies.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 390
OBJ: 1 TOP: Introduction KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
2. An aging population, an overburdened welfare system, and a cost conscious U.S. Congress
exerting its influence on the health care system are all examples of changes. a. Social
b. Cultural
c. Environmental
d. Technological
ANS: A
These are all examples of social changes that affect today’s health care system. Cultural changes are
exhibited in the population served in the health care setting; the environment refers to the health care
setting; and technological advances guide the level of care and the way care is delivered.
PTS: 1 DIF: Cognitive Level: Knowledge REF: pp. 390-391
OBJ: 6 TOP: Changes in Mental Health Care
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
, 3. Families without a home now make up _% of the homeless population in the
United States. a. 14
b. 28
c. 38
d. 44
ANS: C
Nearly half of this population work, but they do not earn enough to pay for housing.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 391
OBJ: 2 TOP: Homelessness
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
4. To implement the concept of the least restrictive treatment environment, health care team
members:
a. Monitor the medications schedule
b. Assess the client’s ability to live alone
c. Assess available financial resources
d. Assess available community resources
ANS: D
The main function of the mental health care team is to coordinate care as the client moves from inpatient to
community settings because this is the least restrictive treatment environment. The other options involve
actions of care team members, but they are not directly related to the surroundings.
PTS: 1 DIF: Cognitive Level: Synthesis REF: p. 394
OBJ: 4 TOP: The Mental Health Care Team
KEY: Nursing Process Step: Planning | Nursing Process Step: Intervention MSC: Client Needs: Psychosocial
Integrity
5. A treatment team member works with a client who is living in a residential treatment facility
with a diagnosis of severe paranoid schizophrenia. The team member who collaborates with the
physician to coordinate the client’s therapy and medications and necessary referrals is the: a. Nurse
case manager
b. Psychiatric technician
c. Certified nursing assistant
, d. Home health care provider
ANS: A
While the psychiatric technician, certified nursing assistance, and home health care provider are important
care team members in the collaboration effort, they do function as independently as the nurse case manager
in coordination of the client’s care.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 397
OBJ: 7 TOP: Expanded Role for Nurses
KEY: Nursing Process Step: Intervention MSC: Client Needs: Psychosocial Integrity
6. Routine health screenings, regular educational discussions, and support groups are nursing
responsibilities that are: a. Curative
b. Educational
c. Restorative
d. Preventive
ANS: D
All of the options are responsibilities of the nurse, but preventive best represents the criteria listed in the
question. Preventive health care is an important responsibility of the nurse. Prevention reduces the
incidence of illness and the difficulty associated with treatment.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 396
OBJ: 7 TOP: Expanded Role for Nurses
KEY: Nursing Process Step: Intervention MSC: Client Needs: Psychosocial Integrity
7. A way of helping people with mental health problems to readjust and adapt to life in the
community that is based on a nonmedical model of treatment is: a. Client advocacy
b. Psychosocial treatment
c. Compliance with medications
d. Psychosocial rehabilitation
ANS: D
The psychosocial (psychiatric) rehabilitation model of treatment focuses on wellness, wholeness, and the
abilities of the client, and it encourages freedom of choice and self-direction.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 397
Foundations of Mental Health Care
Michelle Morrison-Valfre
6th Edition
Chapter 33: Challenges for the Future
,Morrison-Valfre: Foundations of Mental Health Care, 6th Edition
MULTIPLE CHOICE
1. The need for mental health applies to:
a. All persons
b. People with illnesses
c. All married persons
d. People with mental problems
ANS: A
The need for mental health applies to all people. Every person experiences periods of emotional turmoil and
crises, and, at some time, most individuals need some assistance with coping strategies.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 390
OBJ: 1 TOP: Introduction KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
2. An aging population, an overburdened welfare system, and a cost conscious U.S. Congress
exerting its influence on the health care system are all examples of changes. a. Social
b. Cultural
c. Environmental
d. Technological
ANS: A
These are all examples of social changes that affect today’s health care system. Cultural changes are
exhibited in the population served in the health care setting; the environment refers to the health care
setting; and technological advances guide the level of care and the way care is delivered.
PTS: 1 DIF: Cognitive Level: Knowledge REF: pp. 390-391
OBJ: 6 TOP: Changes in Mental Health Care
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
, 3. Families without a home now make up _% of the homeless population in the
United States. a. 14
b. 28
c. 38
d. 44
ANS: C
Nearly half of this population work, but they do not earn enough to pay for housing.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 391
OBJ: 2 TOP: Homelessness
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
4. To implement the concept of the least restrictive treatment environment, health care team
members:
a. Monitor the medications schedule
b. Assess the client’s ability to live alone
c. Assess available financial resources
d. Assess available community resources
ANS: D
The main function of the mental health care team is to coordinate care as the client moves from inpatient to
community settings because this is the least restrictive treatment environment. The other options involve
actions of care team members, but they are not directly related to the surroundings.
PTS: 1 DIF: Cognitive Level: Synthesis REF: p. 394
OBJ: 4 TOP: The Mental Health Care Team
KEY: Nursing Process Step: Planning | Nursing Process Step: Intervention MSC: Client Needs: Psychosocial
Integrity
5. A treatment team member works with a client who is living in a residential treatment facility
with a diagnosis of severe paranoid schizophrenia. The team member who collaborates with the
physician to coordinate the client’s therapy and medications and necessary referrals is the: a. Nurse
case manager
b. Psychiatric technician
c. Certified nursing assistant
, d. Home health care provider
ANS: A
While the psychiatric technician, certified nursing assistance, and home health care provider are important
care team members in the collaboration effort, they do function as independently as the nurse case manager
in coordination of the client’s care.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 397
OBJ: 7 TOP: Expanded Role for Nurses
KEY: Nursing Process Step: Intervention MSC: Client Needs: Psychosocial Integrity
6. Routine health screenings, regular educational discussions, and support groups are nursing
responsibilities that are: a. Curative
b. Educational
c. Restorative
d. Preventive
ANS: D
All of the options are responsibilities of the nurse, but preventive best represents the criteria listed in the
question. Preventive health care is an important responsibility of the nurse. Prevention reduces the
incidence of illness and the difficulty associated with treatment.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 396
OBJ: 7 TOP: Expanded Role for Nurses
KEY: Nursing Process Step: Intervention MSC: Client Needs: Psychosocial Integrity
7. A way of helping people with mental health problems to readjust and adapt to life in the
community that is based on a nonmedical model of treatment is: a. Client advocacy
b. Psychosocial treatment
c. Compliance with medications
d. Psychosocial rehabilitation
ANS: D
The psychosocial (psychiatric) rehabilitation model of treatment focuses on wellness, wholeness, and the
abilities of the client, and it encourages freedom of choice and self-direction.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 397
