Chapter 9: Policy and Advocacy in Mental Health Care

Chapter 9: Policy and Advocacy in Mental Health Care

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Health professionals planning treatment initiatives should be most concerned with the burden of disease created by:

a.	violence and injury.
b.	environmental quality.
c.	behavioral health problems.
d.	irresponsible sexual behavior.

 

 

ANS:  C

Depression ranks as the second most common cause of disability measured in disability-adjusted life years in the United States, and four other psychiatric disorders are in the top 10 worldwide, including alcohol use, bipolar disorder, schizophrenia, and obsessive-compulsive disorder.

 

DIF:    Cognitive Level: Comprehension     REF:   Text Page: 129

TOP:   Nursing Process: Planning

MSC:  NCLEX: Safe, Effective Care Environment: Management of Care

 

2. Which disorder is the leading psychiatric cause of disability in the world?

a.	Depression
b.	Schizophrenia
c.	Bipolar disorder
d.	Obsessive-compulsive disorder

 

 

ANS:  A

A large international study found that depression was the number one psychiatric cause of disability in the world. Four other psychiatric disorders also were among the top 10, including alcohol abuse, bipolar disorder, schizophrenia, and obsessive-compulsive disorder.

 

DIF:    Cognitive Level: Knowledge            REF:   Text Page: 127

TOP:   Nursing Process: N/A MSC:             NCLEX: Health Promotion and Screening

 

3. To work effectively within the health care system, a nurse must understand the current interface between mental health care and the environment. Which statement accurately reflects this interface?

a.	The once simple system has grown from two to six parts, which has significantly complicated the interface.
b.	Biases on the part of providers have largely been abolished, greatly improving the effectiveness of the interface.
c.	Reimbursers and insurers are primarily concerned with protecting the patient’s constitutional rights regarding access to care and treatment received.
d.	In general, families are becoming less concerned with education and empowerment for family members who are patients.

 

 

ANS:  A

The interface between mental health care and the environment has become increasingly complex in recent years. It once consisted only of mental health providers and patients, but the interface now includes patients, providers, families, reimbursers and insurers, lawmakers and regulators, and the judiciary; each of these components has its own agenda.

 

DIF:    Cognitive Level: Comprehension     REF:   Text Page: 127

TOP:   Nursing Process: N/A

MSC:  NCLEX: Safe, Effective Care Environment: Management of Care

 

4. Managed behavioral health care settings are involved in:

a.	health care reform.
b.	universal health care.
c.	health care for the underserved.
d.	treating mental and substance abuse disorders.

 

 

ANS:  D

Behavioral health covers both mental illness and substance abuse disorders.

 

DIF:    Cognitive Level: Comprehension     REF:   Text Page: 129

TOP:   Nursing Process: N/A

MSC:  NCLEX: Safe, Effective Care Environment: Management of Care

 

5. A committee is formed to increase the public’s understanding that mental health is essential to overall health. A nurse would expect that the focus of this group’s work would be:

a.	improving access to quality care that is culturally competent.
b.	protecting and enhancing the rights of people with mental illness.
c.	developing and implementing integrated electronic health record and personal health information systems.
d.	collaborating with the emergency department to treat mental health problems with the same urgency as physical health problems.

 

 

ANS:  D

Recommendations of the New Freedom Commission on Mental Health would address the means of having mental health issues handled with the same urgency as physical health issues.

 

DIF:    Cognitive Level: Application           REF:   Text Pages: 128-130

TOP:   Nursing Process: Planning

MSC:  NCLEX: Safe, Effective Care Environment: Management of Care