Foundations of Mental Health Care, 6th Edition

Foundations of Mental Health Care 6th Edition Morrison-Valfre Test Bank


Chapter 32: Chronic Mental Health Disorders
Morrison-Valfre: Foundations of Mental Health Care, 6th Edition


MULTIPLE CHOICE

1. Persons with chronic mental health problems have much higher rates of:
a. Apathy
b. Suicide
c. Homicide
d. Physical illness
ANS: B
Individuals with chronic mental health problems have much higher rates of suicide because
they often cannot see a bright future for themselves and find it difficult to meet basic needs.

PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 381
OBJ: 1 TOP: Scope of Mental Illness
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity

2. The process of emptying state mental hospitals and placing mentally ill persons in the
community is known as:
a. Recidivism
b. Exacerbation
c. Deinstitutionalism
d. Deinstitutionalization
ANS: D NURSINGTB.COM
State psychiatric hospitals discharge long-term patients into the community through a practice
called deinstitutionalization. Recidivism refers to a pattern of short hospital admissions and
discharges; and exacerbation is a period of dysfunction accompanied by an increase in the
signs, symptoms, and seriousness of a problem.

PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 381
OBJ: 2 TOP: Effects of Deinstitutionalization
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity

3. The experience and suffering of living with mental illness:
a. Decreases as one grows older
b. Is unique to each person
c. Follows a predictable course
d. Is common to all mentally ill persons
ANS: B
Each client is a unique individual; therefore, even if clients share the same diagnosis, the
experiences are unique.

PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 383
OBJ: 2 TOP: Characteristics of Chronic Mental Illness
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity




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, Foundations of Mental Health Care 6th Edition Morrison-Valfre Test Bank


4. The client finds fault in every success she has. She is afraid to try anything new because she
“just knows” that she will fail because she is mentally ill. Her behaviors demonstrate:
a. Low self-esteem
b. Suicidal ideation
c. Low abstraction abilities
d. Altered thought processes
ANS: A
Mentally troubled people often see themselves as helpless, ineffective, and incapable of
change, which leads to chronic low self-esteem. Suicidal ideation refers to persistent thoughts
of suicide; low abstraction abilities refer to the inability to think conceptually; and altered
thought processes refer to a disruption in the ability to think clearly.

PTS: 1 DIF: Cognitive Level: Application REF: p. 384
OBJ: 3 TOP: Psychological Characteristics
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity

5. The child has not developed the ability to respond to others. He cannot communicate his
needs. He may remain dependent upon others throughout his life. He is most accurately
described as having:
a. Autism
b. Anxiety
c. Mental retardation
d. Attention-deficit disorder
ANS: A
Children with autism do not develop the ability to respond to and communicate their needs,
and they remain dependent on NU RSIN
others, GTB.CO
sometimes M
throughout their lives. These children do not
respond well to reality. The other options do not accurately match the description in the
situation.

PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 384
OBJ: 4 TOP: Children and Adolescents With Chronic Mental Illness
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity

6. Approximately __________% of individuals with chronic mental illness use or abuse drugs.
a. 25
b. 50
c. 75
d. 100
ANS: C
This statistic poses a significant problem in the treatment of mental illness.

PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 385
OBJ: N/A TOP: Persons with Multiple Disorders
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity

7. The client has been diagnosed with depression for a long time. He recently started using
cocaine to help relieve his depression. The most accurate description of these behaviors is
a(n):
a. Addiction



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