and Social Work Final Exam
In 2017, the past year prevalence of mental illness determined by
epidemiology studies ranges from 12 to 30 percent of adults, depending on
how it is measured. correct answersTrue
What is a co-occurring disorder? correct answersAn individual with a mental
illness and substance addiction.
What percentage of deaths among working adults are attributed to
alcohol misuse? correct answers1 in 10
Behavioral health encompasses chronic illness care, physical symptoms
associated with stress, and substance abuse treatment. correct
answersTrue
People suffering from schizophrenia tend to be extremely violent. correct
answersFalse
What U.S. policy has improved access to treatment for substance
abuse? correct answersControlled Substances Act
Which edition of DSM was the first to feature detailed definitions of mental
disorders? correct answersDSM lll
Which of the following is true about the evolution of DSM editions? correct
answersAll of these
The most recent edition is the DSM-V
Asperger's Disorder was dropped as a diagnostic category in the latest
edition. There are studies that show that there is a lot of inaccuracy in
psychiatric diagnosing
The original DSM classified homosexuality as a "sexual deviation disorder"
The typical measures epidemiologist use to define the rate of mental
illness in the population include: correct answersAll of these
Symptoms and signs of mental illness
,The level of difficulties a persons with a mental health condition has in filling
their social roles
Whether a person has sought treatment for mental illness
Which of the following is NOT true about mental illness today? correct
answersThe number of people with mental illness has declined
significantly over the last couple of decades thanks to scientific
breakthroughs
Public policy that supported the reductions of numbers of inmates of state
hospitals included several different policy developments which enabled
psychiatric patients to live in the community. Match the policy/program with
what it did. correct answersMental Retardation and Community Mental
Health Centers Construction Act: Subsidies for construction of community
mental health centers
Medicare: Paid for health care for the disabled and elderly
Medicaid: Paid for health care for persons with poverty-level
income
Social Security Disability Insurance: Provided income for
disabled persons
Omnibus Reconciliation Act: Provided block grants to states to pay for
mental health & substance abuse programs
What was the purpose of the Omnibus Budget Reconciliation Act (OBRA) of
1981? correct answersIt was to remove the direct part of the federal
government when it came to mental health.
Deinstitutionalization is.. correct answersWas primarily enabled by the
introduction of thorazine in the 1950s
When Dr. Allen Frances refers to the DSM-V as having created "diagnostic
inflation," he is referring to how the newest edition of the DSM has expanded
psychiatric diagnoses into areas that used to be considered normal behavior,
such as adult ADHD. correct answersTrue
Why was DSM III revised in 1987? correct answersIt was revised because the
criteria(s) that were listed in the previous edition, it was more subjective than
objective.
What percentage of homeless single adults have a serious mental illness
(SMI)? correct answers30%
The number of mentally ill in jails and prisons correct answersIs the
reason that the criminal justice system is called the "de facto" mental
health system,
,Which of the following gives the best explanation of the brain model of
addiction? correct answersAddictive drugs activate dopamine release, and
over time this response desensitizes the reward circuits, creating increased
cravings and lessening the person's ability to self-regulate
What was the primary purpose of the Mental Health Parity Act passed by
congress in 1996? correct answersThe primary purpose was to remove
annual and lifetime limits on getting mental health coverage, hoping to
mental health access and services which were as good as in terms of
providing, with other types of medical issues.
What are some goals of involuntary commitment? correct answersAll of
these
Protecting the individuals with mental illness from hurting
themselves Relieving families and communities from persons
who disrupt daily life Protecting the society as mentally ill
people are deemed dangerous
What are the four possible outcomes of an individual who is "Baker
Acted"? correct answers1) Liberating the individual and letting them be
in the community or another community placement.
2) A petition may be needed for involuntary inpatient placement
3) Involuntary outpatient placement
4) Treatment that is voluntarily decided by the person if he/she is
competent to consent.
Which of the following statement about access to care is correct?
correct answersUninsured or underinsured is one of the major barriers
to mental health services.
Andersens' behavioral model is one of the most influential and widely
used model to understand the factors that may influence health service
use. The model divide the influencing factors into three major categories.
Connect the following terms with the correct matching definition. correct
answersPredisposing factors:
Characteristics that are independent of personal circumstances and
experiences
Enabling factors:
Resources available to the individuals in obtaining care
Need factors:
Actual and perceived need for services
Name three barriers to access to mental health care. correct answers1)
Not enough availability of mental health professionals
5)The level of affordability is restricted, with inadequate insurance
coverage, and the cost to pay for services is high being some of the
reasons.
6) The stigma that is attached to seeking/receiving care.
, Which of the following statement is not true? correct answersAsian
American high school males and females are at the similar rate of
attempting suicide.
Which of the following statement about disparity is incorrect? correct
answersNone of these.:
Health disparities result in direct and indirect costs, such as lost work
productivity and premature death.
Disparities in health and health care limit continued improvement in
overall quality of care and population health.
30% of national health care expenditure is related to preventable
healthcare needs related to disparities in health or care.
As the population becomes more diverse and heterogeneous, it is
increasingly important to address health disparities.
List the two types of health disparities and give an example of each. correct
answers1) One health disparity relates to how diagnosing and treatment of
mental health disorders have been done amongst people of color
Ex: African Americans have been over-diagnosed with schizophrenia and
other types of psychotic disorders than individuals coming from the non-
Latinx Whites population.
2) Another health disparity relates to how health outcomes are
reported amongst women and males.
Ex: It has been said that women report their health issues more, and
report more serious and chronic issues as well, compared to men,
although there is research that has shown that women live longer.
Historically, there are no differences in how men and women with mental
illness have been treated. correct answersFalse
Which of the following statement is correct? correct answersOverall, men
and women experience comparable prevalence of mental illnesses.
There are persistent findings that rates of mental illness are highest among
the lowest SES groups in the U.S correct answersTrue
What are some of the criticisms about the DSM-5? correct answersAll
of these. The DSM-5 exacerbates the medicalization of normal
behavior.
It promotes the globalization of the diagnosis of adult ADHD.