[community Public Health] Chapter 33: Community Mental Health
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A community/public health nurse working in the late 1960s saw an increase in the number of psychiatric patients who were being cared for in the community. What was the reason for this increase?
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Phenothiazine drugs such as chlorpromazine had been discovered.
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Lobbyists had demanded closure of state psychiatric hospitals.
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State funding encouraged the establishment of community mental health centers.
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Community-based therapy was found to be effective at controlling psychiatric symptoms.
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Explore the evolution of community mental health care from the 1960s to the 1980s. Assess key changes like the introduction of phenothiazine drugs, deinstitutionalization policies, and shifts in funding, highlighting their impact on patient care and public health systems.
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- 2.
Why did many psychiatric patients have impaired social interaction, decision-making skills, and life skills when they were discharged from the large state mental hospitals?
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They had families who had not socialized them appropriately.
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They heard nurses tell them too often that they were incompetent and incapable.
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They lacked the ability to learn how to behave in front of others.
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They were accustomed to having needs met and decisions made by the institution.
Correct Answer
A. They were accustomed to having needs met and decisions made by the institution.Explanation
Many psychiatric patients had impaired social interaction, decision-making skills, and life skills when they were discharged from the large state mental hospitals because they were accustomed to having their needs met and decisions made by the institution. In the hospital, they relied on the structure and support provided by the institution, which limited their opportunities to develop and practice these skills independently. As a result, when they were discharged and had to navigate the outside world, they struggled to interact socially, make decisions, and handle daily life tasks effectively.Rate this question:
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- 3.
In the 1960s, what was recommended by the Mental Health Survey Acts Joint Commission on Mental Illness and Health?
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That an increased number of professionals who were prepared to treat the mentally ill be educated and employed
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That mental health patients be deinstitutionalized and treatment be given to them in the community
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That families reintegrate the ill family member into the home
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That large state institutions be demolished and smaller, more homelike cottages be built
Correct Answer
A. That mental health patients be deinstitutionalized and treatment be given to them in the communityExplanation
The correct answer suggests that the Mental Health Survey Acts Joint Commission on Mental Illness and Health recommended deinstitutionalizing mental health patients and providing them with treatment in the community. This means that instead of keeping mentally ill individuals in large state institutions, they should be released and given appropriate treatment in their communities. This approach aims to provide more personalized care and support for patients, allowing them to reintegrate into society and receive treatment in a less restrictive environment.Rate this question:
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- 4.
What was one of the suggestions given to President Carter in the 1970s when the mental health needs of the nation were reassessed?
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Decrease support for mental health research
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Establish national health insurance that includes coverage for mental health services.
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Require private insurance carriers to include mental health coverage.
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Return responsibility for mental health from the states to the federal level.
Correct Answer
A. Establish national health insurance that includes coverage for mental health services.Explanation
One of the suggestions given to President Carter in the 1970s when the mental health needs of the nation were reassessed was to establish national health insurance that includes coverage for mental health services. This suggestion aimed to ensure that mental health services were accessible and affordable to all individuals, as part of a comprehensive national health insurance plan. By including mental health coverage, it would address the growing mental health needs of the nation and provide necessary support and resources for those seeking mental health treatment.Rate this question:
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- 5.
A community/public health nurse providing care for the mentally ill in the 1980s had difficulty finding funds to provide care for her clients. What was the end result of this lack of funding?
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Many of the mentally ill died from lack of care and basic life necessities.
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Most of the mentally ill returned to the large state institutions.
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New, more progressive, modern state institutions were designed, built, and included community-based services.
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Severely disabled clients remained in state institutions, and the less disabled clients used the services of community mental health centers.
Correct Answer
A. Severely disabled clients remained in state institutions, and the less disabled clients used the services of community mental health centers. -
- 6.
What major event related to the mental health care system occurred in the late 1980s?
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The Reagan administrations Omnibus Budget Reconciliation Act terminated funding specifically for community mental health services.
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States refused to continue to be told how to spend their money by the federal level and refused to provide matching funds to community mental health centers.
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The budget crisis resulted in less funding for mental health services on the federal level and more funding on the local level.
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The Presidents Commission on Mental Health confirmed that community mental health centers were ineffective in meeting the needs of the patients.
Correct Answer
A. The Reagan administrations Omnibus Budget Reconciliation Act terminated funding specifically for community mental health services.Explanation
In the late 1980s, the major event related to the mental health care system was the termination of funding for community mental health services by the Reagan administrations Omnibus Budget Reconciliation Act. This act resulted in a budget crisis and led to less funding for mental health services on the federal level. As a result, more funding was allocated on the local level.Rate this question:
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- 7.
A community/public health nurse caring for mental health patients in the late 1990s noticed changes in the services that were available for this population. What led to these changes?
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Communities began banding together to demand increased funding from the federal budget.
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Psychiatrists were given some power to speak for their patients about services necessary to facilitate their recovery.
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Psychiatric patients and their families organized and became involved in policy development.
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States convinced the federal government that they could not cope with the demands of this population.
Correct Answer
A. Psychiatric patients and their families organized and became involved in policy development.Explanation
Psychiatric patients and their families organized and became involved in policy development. This led to changes in the services available for mental health patients in the late 1990s. By actively participating in policy development, these patients and their families were able to advocate for their needs and influence the decisions that were made regarding mental health services. This grassroots movement empowered the mental health community and played a significant role in shaping the services and support available for individuals with mental health conditions.Rate this question:
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- 8.
A patient asks the community/public health nurse why there has been an increase in the number of self-help programs in the community. What was one factor that led to the popularity of these programs?
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Community mental health centers wanted to avoid paying professionals to work as counselors.
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Families were unhappy with professional care and helped their family members to do it yourself.
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There was a lack of professionals available to fulfill these needed responsibilities.
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Patients chose to do this to give their lives meaning by making a difference to someone else through giving as well as receiving.
Correct Answer
A. Patients chose to do this to give their lives meaning by making a difference to someone else through giving as well as receiving.Explanation
One factor that led to the popularity of self-help programs in the community is that patients chose to participate in these programs as a way to give their lives meaning by making a difference to someone else through giving as well as receiving. This suggests that patients were motivated to engage in self-help programs not only for their own benefit but also to contribute to the well-being of others.Rate this question:
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- 9.
According to E. Fuller Torrey, where would a person most likely encounter a mentally ill person?
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State mental hospital
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State prison or jail
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Grocery store
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Living with a family member
Correct Answer
A. State prison or jailExplanation
According to E. Fuller Torrey, a person is most likely to encounter a mentally ill person in a state prison or jail. This suggests that individuals with mental illnesses are more likely to end up in the criminal justice system rather than receiving proper treatment in a state mental hospital or living with family members. The presence of mentally ill individuals in prisons highlights the lack of adequate mental healthcare and the criminalization of mental illness in society.Rate this question:
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- 10.
A community/public health nurse has contacted her legislator to discuss a bill that would enact the provisions of Timothys Law in the state where she lives. Which of the following statements would the nurse most likely make during this conversation?
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Timothys Law suggests that foster care is often the only workable approach to children in trouble.
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Timothys Law encourages an increase in the amount of support and counseling available in schools.
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Timothys Law demonstrates how helpful it is for families to have insurance coverage.
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Timothys Law shows off the success of local collaboration to address the inequities in mental health coverage.
Correct Answer
A. Timothys Law shows off the success of local collaboration to address the inequities in mental health coverage. -
- 11.
Which of the following is an example of a catchment area?
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A community mental health center that provides comprehensive services
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A community where the homeless meet each evening and are taken to a shelter for safety
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A jail or prison where the severely mentally ill are kept isolated from prisoners who do not suffer from such illnesses
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A city or several rural communities small enough to allow collaboration among themselves
Correct Answer
A. A city or several rural communities small enough to allow collaboration among themselvesExplanation
A catchment area refers to a specific geographic region or area from which a particular facility or organization draws its clientele or service population. In this case, a city or several rural communities that are small enough to allow collaboration among themselves can be considered as an example of a catchment area. This suggests that these communities work together and share resources, services, and support to meet the needs of their residents effectively. The collaboration within the catchment area enables better coordination and provision of comprehensive services to the community members.Rate this question:
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- 12.
What is the leading cause of disability in the United States among individuals aged 15 to 44?
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Arthritis
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Cardiac conditions
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Cerebrovascular disorders
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Mental illness
Correct Answer
A. Mental illnessExplanation
Mental illness is the leading cause of disability in the United States among individuals aged 15 to 44. This is because mental health conditions such as depression, anxiety, bipolar disorder, and schizophrenia can significantly impact a person's ability to function in daily life. These conditions can affect a person's cognition, emotions, behavior, and overall mental well-being, making it difficult for them to maintain employment, relationships, and engage in normal activities. Mental illnesses can also lead to physical health problems and have a significant impact on a person's quality of life.Rate this question:
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- 13.
A nurse was creating health education units to be taught in the community high school. Which unit would be most helpful to adolescents, their teachers, and the community as a whole?
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First aid and preparedness in case of natural disasters
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Healthy lifestyles with an emphasis on the need for physical activity
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Signs of depression and suicide and ways of helping someone at risk for suicide
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Sex education about subjects ranging from abstinence to avoiding pregnancy and sexually transmitted diseases (STDs) among teenagers who are sexually active
Correct Answer
A. Signs of depression and suicide and ways of helping someone at risk for suicideExplanation
The unit on signs of depression and suicide and ways of helping someone at risk for suicide would be most helpful to adolescents, their teachers, and the community as a whole. Adolescence is a critical period for mental health, and addressing depression and suicide can have a significant impact on the well-being of individuals and the community. By providing education on recognizing the signs of depression and suicide, as well as strategies for helping someone at risk, the nurse can contribute to early intervention and support for those in need. This unit can empower adolescents, teachers, and the community to take action and promote mental health and well-being.Rate this question:
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- 14.
A community/public health nurse would like to implement a secondary prevention strategy within the community to meet the needs of the families caring for members with mental illness. Which of the following interventions would the nurse be most likely to complete?
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Providing counseling services for the family members
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Offering mental health consultation services to businesses in which family members are employed
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Developing discharge planning instructions for the family members
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Advocating within the political arena for the rights of the family members
Correct Answer
A. Providing counseling services for the family membersExplanation
The nurse would be most likely to provide counseling services for the family members because this intervention focuses on addressing the mental health needs of the families caring for members with mental illness. Counseling services can help the family members cope with the challenges of caring for their loved ones, provide support, and offer strategies for managing their own mental well-being. This intervention aligns with the goal of implementing a secondary prevention strategy by promoting early intervention and support for the families in the community.Rate this question:
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- 15.
A community/public health nurse links a mental health client with the necessary services in the community. This is an example of which category of individual client-focused interventions?
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Consulting
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Teaching
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Providing therapy
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Case management
Correct Answer
A. Case managementExplanation
Case management is the correct answer because it involves coordinating and linking clients with the necessary services in the community. In this scenario, the community/public health nurse is acting as a case manager by identifying the client's needs and connecting them with the appropriate mental health services. Case management focuses on ensuring that clients receive comprehensive and coordinated care by facilitating their access to resources and support systems.Rate this question:
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Mar 21, 2023Quiz Edited by
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May 12, 2020Quiz Created by
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