Full Test Bank Ch11 Mental Health A Continuing Crisis

Chapter 11: Mental Health – A Continuing Crisis

Multiple Choice

1. The National Alliance on Mental Illness (NAMI) gave the United States what letter grade for the system of mental health care? :

A. A

B. B

C. C

D. D

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2. Annual health care costs related to mental illness in the United States each year are about:

A. $100 billion

B. $200 billion

C. $300 billion

D. $400 billion

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3. According to CDC, rates of depression are highest in which region of the U.S.?

A. Northeast

B. Southeast

C. Midwest

D. West

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4. According to the National Institute of Mental Health, in 2012, about what percentage of adults in the U.S. had any mental illness?

A. 10%

B. 20%

C. 40%

D. 50%

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5. According to the National Institute of Mental Health, in 2012, about what percentage of adolescents experiences major depression in the past year?

A. 10%

B. 20%

C. 40%

D. 50%

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6. According to the CDC, in 2010, what was the most common method of suicide in the U.S.?

A. Suffocation

B. Poisoning

C. Falls

D. Firearms

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7. A major barrier keeping people from accessing treatment for mental illness is:

A. Lack of transportation

B. Public awareness

C. Long waiting times

D. Stigma

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8. Gaps in availability of treatment services in communities is often attributed to:

A. Closure of many psychiatric hospitals

B. Shifting of resources to public transportation

C. Declines in availability of housing

D. Shift in priorities for community resources

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9. From the period 2009-2012, state funding for mental health declined by about:

A. $400 million

B. $800 million

C. $2.5 billion

D. $4.3 billion

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10. In evidence-based efforts to reduce stigma, which of the following factors may be especially influential?

A. Hospitalization in the last year

B. Personal contact of experience with mental illness

C. Viewing a public awareness campaign

D. Living in a geographic areas with a psychiatric hospital

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True or False

11. Mental health disorders are characterized by abnormal alterations in thinking, mood, or behavior that are sustained and accompanied by distress and impaired function.

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12. Levels of impairment in activities of daily living from mental illnesses are generally mild, and consistent across populations.

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13. Higher deaths rates from a variety of chronic illnesses are documented in patients with serious mental illness.

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14. According to the CDC, there is a high-quality state-based reporting system for anxiety disorders in the U.S.

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15. According to the National Institute of Mental Health, in 2012, fewer than 60% of patients with serious mental illness received treatment for their condition.

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16. Suicide is the leading cause of death among people ages 15 to 24 in the U.S.

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17. According to the World Health Organization, about 75% of suicides worldwide are in low and middle-income countries.

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18. In a research study from Sweden, older age of fathers was associated with decreased risks for autism, psychosis, and bipolar disorder.

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19. In a study in Denmark, researchers found increased risks for psychiatric disorders in children of younger, but not older, parents.

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20. Stigma related to mental illness can include both public stigma and perceived stigma.

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21. In a comprehensive review in the United Kingdom, researchers found that stigma was especially important in preventing young people, men, and minority populations from getting treatment.

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22. Numbers of psychiatric beds available in the United States has decreased from 500,000 to less than 100,000 since the 1960s.

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23. One barrier to comprehensive improvements in mental health services includes the fact there are many different sources of funding.

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24. Most mental health treatment, including treatment for substance abuse, is provided in inpatient settings.

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25. Financing for behavioral health services is different than financing for physical healthcare services.

Multiple Answer

26. Mental illness may result in worse health comes for which of the following:

A. Heart and lung disease

B. Diabetes

C. Tobacco use

D. Alcohol abuse

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27. Which of the following data sources are used by CDC to create a summary of mental illness in the U.S.?

A. Behavioral Risk Factor Surveillance System

B. National Ambulatory Medical Care Survey

C. Nationally Notifiable Reportable Disease System

D. Hospital Discharge Survey

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28. According to CDC, what areas of the U.S. have the highest suicide rates?

A. Northeast

B. Western states

C. Alaska

D. Midwest

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29. Which of the following are “risk factors” related to suicide?

A. History of depression

B. History of alcohol or drug abuse

C. History of obesity

D. Previous suicide attempt

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30. Which of the following are “protective factors” related to suicide?

A. Recent family-related stress

B. Conflict resolution skills

C. Access to health care

D. Specific cultural beliefs

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31. Which of the following may be reasons fewer psychiatrists in the U.S. access health insurance than other types of healthcare providers?

A. Geographic location of practice

B. Longer patient visit times

C. Proximity to psychiatric hospital

D. Community support for their practice

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32. In one study using the STARRS database, factors associated with increased suicide risk included:

A. Being male

B. White race/ethnicity

C. Current or previous deployment

D. Recent promotion

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33. In another STARRS study, suicide attempts after Army enlistment were associated with being:

A. Male

B. Lower rank

C. Previous deployment

D. Mental health condition prior to enlistment

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34. Marketing campaigns to reduce stigma about mental illness include:

A. Time to Change

B. Get Treatment

C. Like Minds Like Mine

D. Opening Doors

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35. A study of self-stigma in 14 European countries, showed lower rates of self-stigma in counties with:

A. Less public stigma

B. Better access to treatment

C. Better access to information about mental health

D. Reduced costs for transportation to appointments

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36. Provisions of the ACA that may reduce barriers to treatment for mental illness include:

A. Requirements for mental health and physical health equity

B. Expansion of Medicaid

C. Eliminating exclusion from insurance due to pre-existing conditions

D. Grants for health provider education

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37. Promising health care models to integrate physical and behavioral health include:

A. Universal screening

B. Using navigators

C. Co-location of physical health and mental health services

D. Health homes

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