Foundations of Mental Health Care 4th Edition by Morrison-Valfre Test Bank
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Morrison-Valfre: Foundations of Mental Health Care, 4th Edition
Chapter 2: Current Mental Health Care Systems
- Because mental health care is not covered in Australia under the basic health plan, which citizens are more likely to receive mental health care?
- What percentage of U.S. citizens have no health insurance?
- Mental health care is available under the universal health care system in Britain, which is funded primarily by:
- A client is seen in a mental health clinic in the United States. The client is covered by an insurance plan that consists of a network of providers who accept discounted payments from the insurance company. The client is able to see specialists without a referral from the primary provider. Which type of plan does the client most likely have?
|b.||Preferred provider organization (PPO)|
|c.||Health maintenance organization (HMO)|
- Because many individuals in the United States do not seek health care for mental illness until late into the illness, many end up being seen in:
|a.||Hospitals and nursing homes|
|b.||Outpatient and community services|
|c.||Emergency rooms and jails|
- The concept of recidivism is prevalent among individuals with chronic psychiatric problems. Which is the most accurate description of this concept?
|a.||Relapse of symptoms of a client’s mental health disease, resulting in frequent readmission to facilities|
|b.||Coordination and cooperation between community mental health agencies and hospitals, resulting in continuity of care|
|c.||Providing mental health care services to a client who lives on his own in his own home|
|d.||Limited supervision in a community setting with emphasis on individual responsibility for care|
- The __________ model views clients holistically with the goal of creating a support system designed to encourage independence in the client with a mental health disorder.
|a.||Community support systems|
|c.||Multidisciplinary health care team|
- Which type of community setting involves care for individuals with mental health issues in a protected and supervised environment within the community?
|a.||Psychiatric home care|
|b.||Community mental health centers|
- The brother of a male mental health client is concerned because he works during the day and has no one to care for his brother, who requires almost constant supervision. He wants to keep his brother at home but is unsure of what resources are available in the community. What is the nurse’s best response?
|a.||“Have you considered a residential group home?”|
|b.||“Let me give you some information on a community day treatment center.”|
|c.||“Psychiatric home care might be an option.”|
|d.||“A community mental health center would be good for your brother.”|
- The home mental health nurse visits a female client to assess her ability to care for herself at home after discharge from an inpatient setting. Which component of the case management system does this demonstrate?
- A client with a severe, treatment-resistant mental illness has been assigned to an assertive community treatment (ACT) team. An ACT treatment strategy that helps to prevent recurrent hospitalizations for mental health reasons is to meet with the client in the community setting:
|a.||Once per week|
|b.||Two to four times per week|
|c.||Five to six times per week|
|d.||Seven to eight times per week|
- Which member of the multidisciplinary mental health care team is primarily responsible for evaluating the family of the client, as well as the environmental and social surroundings of the client, and plays a major role in the admission of new clients?
|d.||Psychiatric social worker|
- It is estimated that approximately __________ of adults experience some form of mental or emotional disorder.
- A male client with a diagnosis of bipolar disorder is admitted to an inpatient unit during a severe manic episode. As a result of guidelines implemented by the Health Care Financing Administration in 1983, the client’s Medicare will pay for his stay in this unit for:
|a.||The length of time necessary for his condition to be stabilized|
|b.||Up to 6 months with appropriate documentation|
|c.||A pre-determined length of time based on the diagnosis|
|d.||2 to 4 weeks|
- A female client was given the diagnosis of schizophrenia and recently has lost her job. She tells the nurse that she has enough money for only two more house payments, and if she does not find a job, she fears she will become homeless. The nurse knows that this client falls in the group of nearly __________ of U.S. citizens who live below poverty level.
- Addiction to recreational drugs, such as crack, cocaine, and heroin, combined with use of psychotherapeutic drugs is associated with:
|a.||Permanent psychotic states|
|c.||Generalized anxiety disorder|
- A female client who is undergoing therapy for depression is divorced and has two children, ages 2 and 4. She has just enrolled in a local community college and is worried about providing food and clothes for her family while holding down a minimum wage job and devoting the time needed to be successful in school. The nurse determines that the best community resource for assisting this client to meet these needs is:
|a.||A shelter for victims of domestic violence|
|b.||Women, Infants, and Children (WIC)|
|d.||Family recreation center|
- The home care nurse is providing care to an older adult client with a diagnosis of depression who is caring for his wife with Alzheimer’s disease. He states that he hardly has enough energy to cook and clean the house. The couple has no children, and no relatives live within a close distance. Which community agency would be of greatest benefit to this client?
|a.||A recreational club|
|b.||An adult education program|
|c.||A day care center for elderly|
|d.||Meals on Wheels|
- A 9-year-old girl is given the diagnosis of depression. She has low self-esteem, does not enjoy group therapy, and does not show her emotions. The nurse has had difficulty establishing rapport with this client and decides to ask for assistance from another treatment team member. Which team member would best assist in this situation?
- Nearly __________ of all countries in the world have no clear governmental policy that addresses mental health issues.
- Which principles characterize mental health care in Canada? Select all that apply.
|e.||Private insurance models|
- In the United States, which factors determine whether a client requires inpatient rather than outpatient care? Select all that apply.
|a.||Severity of the illness|
|b.||Level of dysfunction|
|c.||Suitability of the setting for treating the problem|
|e.||Level of client cooperation|
|f.||Ability to pay|
- Which client populations are at greater risk for the development of mental health disorders? Select all that apply.
|b.||Clients infected with HIV or AIDS|
|c.||Those in crisis|
|e.||Clients living in rural areas|
- A __________ is a form of health insurance that delivers health care to clients enrolled in its plan. Clients pay a fixed price for care, as long as they receive services from a provider within the company’s system.
- The __________ therapist of the mental health team uses methods such as pet therapy and music therapy when working with clients and is responsible for providing leisure-time activities and for teaching inpatient clients useful ways to pass time.
Morrison-Valfre: Foundations of Mental Health Care, 4th Edition
Chapter 4: Sociocultural Issues
- An older Asian female with a diagnosis of depression is cared for by her granddaughter. Her granddaughter is very attentive to the client’s needs, attends every therapy session, and is active in the planning and implementing of the treatment plan. The granddaughter’s valuing of her grandmother is most likely due to her:
- A traditional Arab female client is brought to the emergency room by her husband. She complains of feeling very anxious and short of breath and has chest pain. What would likely be a hindrance to the care of this client?
|a.||The emergency room physician is female.|
|b.||Her husband asks if he can stay with his wife.|
|c.||One of the emergency room nurses is of Arab descent.|
|d.||The only caregivers available in the emergency room are male.|
- On what is Western medicine primarily based?
- The nurse is performing an admission assessment on a Greek couple seeking care from a family counseling center. Although the couple is talking, the wife states that she wants to work as a teaching assistant at their daughter’s school, but her husband adamantly objects to the idea. If the wife were to work outside the home, she most likely would be seen in their culture as:
- Disease is defined as:
- The nurse is caring for a 20-year-old woman from Puerto Rico. The client speaks English, but she is accompanied by her mother, who does not. The client has a history of mental illness, and through the interpreter, the nurse learns that the mother, who has traditional Puerto Rican cultural beliefs, believes that the client’s mental illness is caused by:
- A mental health care provider who is aware of her cultural views and attitudes toward other cultures and who strives to understand, communicate, and effectively work with clients of other cultures is considered to be:
- When a cultural assessment of communication is performed, which of the following is considered nonverbal communication?
|b.||Volume of speech|
- A client is continually late for his appointment at the mental health clinic. What is a likely reason for his lack of punctuality?
|a.||Need for environmental control|
|c.||Space comfort zone|
- Which client communication problem can the nurse most easily correct?
- What is the social orientation among most middle-class American families?
- The nurse is performing an admission assessment on a female client. She is a white middle-class American who has recently married a male of Greek descent with strong traditional Greek cultural beliefs. She is displaying signs and symptoms of an eating disorder, most likely attributable to:
|b.||Gender role conflict|
|d.||Modeling of behavior|
- It is important for the nurse to be familiar with the religious practices of clients cared for most often in a particular region because attitudes toward health and illness, death and burial, food, and procreation have a strong impact on a client’s beliefs and practices. The nurse knows that the religion practiced most often around the world is:
- The metabolism of psychotropic medications is most likely to be affected by:
- A male Hmong client from Laos is a client at an outpatient mental health clinic who is being seen for his diagnosis of bipolar disorder. The importance of lithium testing was stressed in his discharge plans; however, it is discovered that he has had his lithium level checked only once, rather than the three scheduled times. What is the nurse’s best action?
|a.||Remind the client about the importance of lithium level testing.|
|b.||Make scheduled appointments for the client to get his lithium level tested.|
|c.||Give the client written information regarding the importance of lithium level testing and written instructions on how to make appointments for testing.|
|d.||Talk with the client to see if there is a reason that he is not getting his lithium levels checked as outlined in his discharge plans.|
- Culture includes common beliefs and practices in areas such as religion, economics, diet, health, and:
|c.||Patterns of communication|
- What is the usual approach to care for individuals who practice folk medicine?
- A Navajo Native American is traveling across the country and becomes ill. He visits a hospital emergency room and appears very uncomfortable in the surroundings. The nurse knows that traditional Navajo Native Americans typically receive health care in:
- A male client is visiting his family in the United States and experiences what his family describes as a “breakdown.” His family takes him to a stress treatment center at a local mental health clinic. The client is a follower of traditional folk medicine practices and is agitated when he learns that he must see a licensed psychiatrist. Which care providers is this client most likely accustomed to? Select all that apply.
|e.||Lay unlicensed therapists|
- Which areas comprise the DSM-IV-TR cultural assessment tool for clients? Select all that apply.
|a.||Cultural identity of the client|
|b.||Overall cultural assessment|
|c.||Cultural explanation of the illness|
|d.||Cultural factors relating to previous mental illness|
|e.||Cultural factors relating to psychosocial environment|
|f.||Cultural elements of relationship between client and care provider|
|g.||Cultural factors related to level of functioning|
MSC: Client Needs: Psychosocial Integrity
- Refugees frequently experience depression, anxiety, and stress-related disorders caused by their particular circumstances. Therefore, in addition to a cultural assessment, what is important for the nurse to assess? Select all that apply.
|b.||History of arrival in the new country|
|c.||How long the refugee has been in the new country|
|d.||Whether anyone or anything was lost in coming to the new country|
|e.||What type of medical insurance the refugee will be seeking to obtain|
- A __________ is a simplified or standardized belief or conception regarding people who belong to another culture.
MSC: Client Needs: Psychosocial Integrity
- __________ is a term that divides people into groups based on biological characteristics, including skin color, features, hair texture, and self-identification.
- When a person believes that there is a power greater or higher than any human being, he is referring to his __________.
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