Chapter 32: Chronic Mental Health Disorders

Chapter 32: Chronic Mental Health Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

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

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

 

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