NUR 331 Prep Exam Questions With
Already Solved Solutions.
What is the WHO definition of mental health? - Answer The World Health Organization defines health
as a state of complete physical, mental, and social wellness, not merely the absence of disease or
infirmity.
**Emphasizes health as a positive state of well-being.
Diagnostic and Statistical Manual of Mental Disorders - Answer Published by the American Psychiatric
Association. It is used to diagnose specific psychiatric disorders
***As a nurse, you will be ASSESSING patients, NOT using the DSM-5 to diagnose patients with a specific
disorder
Allows the practitioner to ID all factors that relate to a patient's condition:
· Major psychiatric disorders
· Medical conditions
· Psychosocial & environmental problems
Revolving door effect - Answer Shorter but more frequent hospital stays
Due to deinstitutionalization
Often "boarded" in EDs while awaiting inpatient beds
Mental Illness in the 21st Century: Research Update
*Current State - Answer *More than 18.6% of Americans aged 18 years and older have diagnosable
mental disorders
,*20.7 million have a substance use disorder
*8.4 million of this population have a dual diagnosis
*15 million adults and 4 million children and adolescents with impaired daily activities
*Economic burden exceeds that of all types of cancer.
*Leading cause of disability in the U.S. and Canada for those aged 15-44 years of age
*Increasing number for both adults and children/adolescents are being treated for mental illness; yet
only 1 in 4 adults and 1 in 5 children are treated.
*Treatments still lagging in homeless and those with substance abuse problems
Mental Illness in the 21st Century: Research Update
*Issues & Concerns - Answer *"Revolving- door" effect due to deinstitutionalization
o Often "boarded" in ED's while awaiting inpatient beds
o Shorter but more frequent hospital stays
*Homelessness (42% estimated to have serious mental illness associated with substance abuse)
*33% have associated physical illness comorbidities
o Often caused by medications/treatment
*Lack of adequate community resources
o Often lack of funding
, *Incarceration
o Less access to mental health care associated with higher incarceration rates
Healthy People 2020 - Answer *Reduce the suicide rate.
*Reduce suicide attempts by adolescents
*Reduce the proportion of adolescents who engage in disordered eating behaviors in an attempt to
control their weight.
*Reduce the proportion of persons who experience major depressive episodes
*Increase the proportion of juvenile resident facilities that screen admissions for mental health
problems.
*Increase the proportion of primary care facilities that provide mental health treatment onsite or by paid
referral.
*Increase the proportion of persons with serious mental illness who are employed
*Increase the proportion of adults with mental health disorders who receive treatment.
*Increase the proportions of persons with co-occurring substance abuse and mental disorders who
receive treatment for both disorders.
*Increase depression screening by primary care providers.
*Increase the number of homeless adults with mental problems who receive mental health services.
1963 Community Mental Centers Act: What did it do? - Answer *Focused on deinstitutionalization
Already Solved Solutions.
What is the WHO definition of mental health? - Answer The World Health Organization defines health
as a state of complete physical, mental, and social wellness, not merely the absence of disease or
infirmity.
**Emphasizes health as a positive state of well-being.
Diagnostic and Statistical Manual of Mental Disorders - Answer Published by the American Psychiatric
Association. It is used to diagnose specific psychiatric disorders
***As a nurse, you will be ASSESSING patients, NOT using the DSM-5 to diagnose patients with a specific
disorder
Allows the practitioner to ID all factors that relate to a patient's condition:
· Major psychiatric disorders
· Medical conditions
· Psychosocial & environmental problems
Revolving door effect - Answer Shorter but more frequent hospital stays
Due to deinstitutionalization
Often "boarded" in EDs while awaiting inpatient beds
Mental Illness in the 21st Century: Research Update
*Current State - Answer *More than 18.6% of Americans aged 18 years and older have diagnosable
mental disorders
,*20.7 million have a substance use disorder
*8.4 million of this population have a dual diagnosis
*15 million adults and 4 million children and adolescents with impaired daily activities
*Economic burden exceeds that of all types of cancer.
*Leading cause of disability in the U.S. and Canada for those aged 15-44 years of age
*Increasing number for both adults and children/adolescents are being treated for mental illness; yet
only 1 in 4 adults and 1 in 5 children are treated.
*Treatments still lagging in homeless and those with substance abuse problems
Mental Illness in the 21st Century: Research Update
*Issues & Concerns - Answer *"Revolving- door" effect due to deinstitutionalization
o Often "boarded" in ED's while awaiting inpatient beds
o Shorter but more frequent hospital stays
*Homelessness (42% estimated to have serious mental illness associated with substance abuse)
*33% have associated physical illness comorbidities
o Often caused by medications/treatment
*Lack of adequate community resources
o Often lack of funding
, *Incarceration
o Less access to mental health care associated with higher incarceration rates
Healthy People 2020 - Answer *Reduce the suicide rate.
*Reduce suicide attempts by adolescents
*Reduce the proportion of adolescents who engage in disordered eating behaviors in an attempt to
control their weight.
*Reduce the proportion of persons who experience major depressive episodes
*Increase the proportion of juvenile resident facilities that screen admissions for mental health
problems.
*Increase the proportion of primary care facilities that provide mental health treatment onsite or by paid
referral.
*Increase the proportion of persons with serious mental illness who are employed
*Increase the proportion of adults with mental health disorders who receive treatment.
*Increase the proportions of persons with co-occurring substance abuse and mental disorders who
receive treatment for both disorders.
*Increase depression screening by primary care providers.
*Increase the number of homeless adults with mental problems who receive mental health services.
1963 Community Mental Centers Act: What did it do? - Answer *Focused on deinstitutionalization
