Deck 7: Mental Health: Long-Term and Acute Services

Question 1

Which of the following represent the three most prevalent types of serious mental illness?

A) Bipolar disorder, generalized anxiety disorder, and anorexia nervosa
B) Generalized anxiety disorder, personality disorder, and schizophrenia
C) Personality disorder, schizophrenia, and clinical depression
D)Bipolar disorder, schizophrenia, and clinical depression
E) Bipolar disorder, personality disorder, and schizophrenia

Answer 1

Bipolar disorder, schizophrenia, and clinical depression

Question 2

Which of the following terms can be equally applied either to mental illness and intellectual disability in the same person or to mental illness and chemical dependency in the same person?

A) Dual diagnosis
B) MICA
C) Bipolar
D) MIID

Answer 2

Dual diagnosis

Question 3

Psychosocial rehabilitation services __________________________________.

A) include aggressive consistent implementation of specialized and generic training, treatment, health services, and related services on a 24-hour daily schedule in an institutional setting
B) refer to a meeting of the interdisciplinary team during which the individual program plan is reviewed and revised
C) focus on provision of an array of community support services for persons with mental illness sufficient to allow them to live in the least restrictive environment
D) represent the predominant method of mental health service delivery to children with emotional disturbances and their families, utilizing professional services tailored to meet the specific needs of the child and family, often including the home and/or school settings

Answer 3

focus on provision of an array of community support services for persons with mental illness sufficient to allow them to live in the least restrictive environment

Question 4

Wrap-around services _______________________________.

A) include aggressive consistent implementation of specialized and generic training, treatment, health services, and related services on a 24-hour daily schedule in an institutional setting
B) refer to a meeting of the interdisciplinary team during which the individual program plan is reviewed and revised
C) focus on provision of an array of community support services for persons with mental illness sufficient to allow them to live in the least restrictive environment
D) represent the predominant method of mental health service delivery to children with emotional disturbances and their families, utilizing professional services tailored to meet the specific needs of the child and family, often including the home and/or school settings.

Question 5

Judicial diversion of a person who has been certified as in need of psychiatric care to some other form of treatment that is community based with stipulations regarding behaviors such as taking medications, remaining sober, and maintaining residence in a designated place is called __________________.

A) continuity of care
B) outpatient commitment
C)continuous quality improvement
D) delusion

Question 6

The term by which persons with mental illness who are living in the community prefer to be called is _________________.

A) consumer
B) client
C) patient
D) resident

Question 7

A focus on customer involvement in planning services and obtaining feedback as to satisfaction with service delivery is a component of _____________________.

A) utilization management
B) continuous quality improvement
C) continuity of care
D)commitment

Question 8

A period of time during which a variety of services (inpatient and/or outpatient) are provided to a mental health consumer for a given occurrence of illness is known as a(n)______________.

A) hospitalization
B) involuntary commitment
C) episode of care
D) relapse

Question 9

Financial support for persons with mental illness who have not been able to establish a work history is available through ______________________.

A) Supplemental Security Income (SSI)
B) Social Security Disability Income (SSDI)
C) the Substance Abuse and Mental Health Services Administration (SAMHSA)
D) the Center for Mental Health Services (CMHS)

Question 10

Which of the following individuals would be responsible for referral to needed services, coordination among service providers, and monitoring for escalation of psychotic symptoms, but would not provide treatment?

A) psychiatrist
B) psychologist
C) recreation therapist
D) case manager

Question 11

With regard to progress notes in mental health records, _____________________________.

A) accreditation surveyors often check to see that every progress note has a corresponding diagnosis in the history and physical report
B) progress notes are important as documentation that a service was performed as a basis for reimbursement
C) the Conditions of Participation require that physicians in psychiatric hospitals write daily progress notes
D) progress notes are not usually included in electronic medical records for mental health and therefore are generally handwritten, even when the rest of the record is electronic

Question 12

In the context of mental health, "duty to warn" means that __________________.

A) therapists must warn persons against whom clients make threatening statements, regardless of the fact that such threats are made within a privileged context
B) clients should notify therapists when they perceive that their symptoms are becoming exacerbated so that treatment can be properly escalated
C) family members must warn therapists when the patient makes threatening statements against caregivers
D) mental health organizations must notify both patients and the Department of Health and Human Services when a suspected breach of confidentiality of patient records has occurred

Question 13

__________________ is the term for a form of disordered thinking in which a person holds unrealistic beliefs.

A) Hallucination
B) Delusion
C) Depression
D) Bipolar disorder

Question 14

With regard to emergency safety interventions, such as restraint or seclusion, _________________________.

A) there is no recognized right to be free from the inappropriate use of restraint and seclusion
B) CMS has rules regarding inappropriate physical restraint, but does not address chemical restraint
C) one week after use of such emergency safety interventions, involved staff and the patient must have a face-to-face discussion and staff must document the discussion, including how such an intervention might be avoided in the future
D) within one hour of initiation, there must be a face-to-face assessment of the psychological and physical wellbeing of the patient conducted by a physician or other professional qualified by special training in the use of emergency safety interventions

Question 15

In recent years, mental health services have placed emphasis on ________________________.

A) psychosurgery
B) functional deficits
C) client strengths
D) placement in the most restrictive environment

Question 16

Which of the following was NOT a factor in the 2005 implementation of the inpatient psychiatric facility prospective payment system (IPF PPS)?

A) assessment scores
B) comorbidities
C) patient age
D) MS-DRG

Question 17

A system of care _____________________________________________.

A) involves collaboration across agencies, families, and youth for the purpose of improving access and expanding community-based services and supports for children and youth with a serious emotional disturbance and their families
B) is a program of federal benefits paid to persons with disabilities such as mental illness who have worked a sufficient length of time to qualify to receive Social Security benefits
C) is a program in the federal block grant program that supplements the revenue of the community mental health centers to provide services to adults in inpatient psychiatric crisis facilities
D) is a program in the federal block grant program that supplements the revenue of State Mental Health Authorities to fund both inpatient psychiatric hospitals and community mental health centers

Question 18

Children's home-based mental health services are individual-centered rather than family- centered.

Question 19

A mental health program could be accredited by the Joint Commission, CARF, or NCQA.

Question 20

A hallucination is a false sensory perception, such as seeing, hearing, smelling, or feeling things that are not real.

Question 21

Involuntary commitment is a legal process by which individuals who are deemed to be a danger to themselves or to others may be admitted to a facility even though they refuse or cannot consent to the treatment.

Question 22

Personality disorder is a form of serious mental illness in which a person alternates between states of ecstatic mania and severe depression.

Question 23

The Child and Adolescent Service System Program (CASSP) began as a federal initiative in the 1980s to create a comprehensive network of services for emotionally disturbed children and adolescents, now known as systems of care.

Question 24

CQI is a management concept that is at odds with the consumer empowerment movement because of its focus on provider control in planning services and its lack of feedback mechanisms.

Question 25

The Uniform Reporting System (URS) is a system by which each State Mental Health Authority (SMHA) reports aggregate data to SAMHSA

Question 26

When a consumer fails to abide by the stipulations of an outpatient commitment, it rarely results in involuntary commitment to an inpatient facility.

Question 27

The principal sources of funding for CMHCs are client fees, Medicaid, Medicare, and block grant funding for special projects.

Question 28

It is generally thought that persons with serious mental illness who are in stable mental states do not benefit greatly from traditional talk therapy, and that in fact it may sometimes produce negative effects by increasing stress when discussion turns to unhappy events.

Question 29

The IPF PPS is Medicare's method of payment for services received by beneficiaries at Community Mental Health Centers (CMHCs).

Question 30

________________________ involves mechanical or personal restriction that immobilizes or reduces the ability of an individual to move his or her arms, legs, or head freely.​

Question 31

_________________________ is the 2013 update to the classification system and nomenclature of mental disorders developed by the American Psychiatric Association used as a coding system for mental disorders.​

Question 32

_________________________ is a legal process by which individuals who are deemed to be a danger to themselves or to others may be admitted to an inpatient facility even though they refuse or cannot consent to the treatment.​

Question 33

___________________________ is a psychosis represented by a state of extremely disordered thinking, manifesting as a break with reality.​

Question 34

The _______________________ is a system by which each State Mental Health Authority (SMHA) reports aggregate data to SAMHSA.​

Question 35

______________________________ medications are designed to reduce psychotic symptoms by altering the chemical processes within the brain.​

Question 36

_________________________ are publicly funded mental health organizations established in communities throughout the United States by the Mental Health Act of 1965.​

Question 37

______________________ is a common acronym for programs for persons dually diagnosed with mental illness and chemical/alcohol addiction. (This abbreviation is not considered correct when used to refer to individuals or to indicate a population.)​

Question 38

______________________ is the use of a drug or medication not part of a person's usual medical regimen that is administered to control behavior or restrict freedom of movement.​

Question 39

_______________________________ is a mode of treatment for serious mental illness that focuses on provision of an array of community support services (e.g., development of job skills, if needed) for persons with mental illness, sufficient to allow them to live in the least restrictive environment possible outside an institution.​

Question 40

A(n) _________________________________ is a state of extreme disordered thinking in which a person demonstrates such symptoms of serious mental illness as hallucinations and delusions.​

Question 41

Match each description with the correct item

- A federal agency whose purpose is to reduce the impact of substance abuse and mental illness on
America's communities

A) CASSP
B) CMHS
C) MHSIP
D) SAMHSA

Question 42

Match each description with the correct item

- An early initiative to create a nationwide data system for uniform reporting of mental health data

A) CASSP
B) CMHS
C) MHSIP
D) SAMHSA

Question 43

Match each description with the correct item

- An early initiative to create a comprehensive network of services for emotionally disturbed children and adolescents through a series of demonstration grants, now known as system of care grants

A) CASSP
B) CMHS
C) MHSIP
D) SAMHSA

Question 44

Match each description with the correct item

- The agency that oversees administration of demonstration and research grants and other initiatives at the federal level related to mental health issues

A) CASSP
B) CMHS
C) MHSIP
D) SAMHSA

Question 45

Match each description with the correct item

- A condition in which a person has a diagnosable mental, behavioral, or emotional disorder resulting in functional impairment that substantially interferes with or limits one or more major life activities

A) bipolar disorder
B) clinical depression
C) delusion
D) hallucination
E) serious emotional disturbance
F) serious mental illness

Question 46

Match each description with the correct item

- A condition in which a young person (from birth to age 18) has a diagnosable mental, behavioral, or emotional disorder resulting in functional impairment that substantially interferes with or limits the child's role or functioning in family, school, or community activities

A) bipolar disorder
B) clinical depression
C) delusion
D) hallucination
E) serious emotional disturbance
F) serious mental illness

Question 47

Match each description with the correct item

- A form of disordered thinking in which a person holds unrealistic beliefs (e.g., that they are receiving communications from aliens in outer space or that their food is being poisoned)

A) bipolar disorder
B) clinical depression
C) delusion
D) hallucination
E) serious emotional disturbance
F) serious mental illness

Question 48

Match each description with the correct item

- A form of disordered thinking in which a person reports sensory experience that is not valid, such as seeing, hearing, smelling, or feeling things that are not real

A) bipolar disorder
B) clinical depression
C) delusion
D) hallucination
E) serious emotional disturbance
F) serious mental illness

Question 49

Match each description with the correct item

- A form of mental illness in which a person alternates between states of ecstatic mania and severe depression

A) bipolar disorder
B) clinical depression
C) delusion
D) hallucination
E) serious emotional disturbance
F) serious mental illness

Question 50

Match each description with the correct item

- A mental illness appearing as a deep feeling of melancholy and futility that is not situational in nature

A) bipolar disorder
B) clinical depression
C) delusion
D) hallucination
E) serious emotional disturbance
F) serious mental illness

Question 51

Describe the difference in schizophrenia, clinical depression, and bipolar disorder.​

Question 52

Describe any three of the core services likely to be needed by the majority of seriously mentally ill persons at some point in the course of their treatment.​

Question 53

Describe wrap-around services for emotionally disturbed children and adolescents.​

Question 54

List two patient level factors that allow inpatient psychiatric facilities to receive per diem payments.?