HCA 202B

Question 1

Schizophrenia is a chronic and disabling brain disorder

1. True
2. False

Answer 1

1. True

Question 2

Bipolar disorder is the most common form of mental disorders in the U.S

1. True
2. False

Answer 2

2. False

Question 3

Depression is common with anxiety disorders

1. True
2. False

Answer 3

1. True

Question 4

Major depression is the same thing as grieving.

1. True
2. False

Answer 4

2. False

Question 5

Caregivers need to document when a person with a mental disorder refuses medication.

1. True
2. False

Answer 5

1. True

Question 6

A “relapse plan” is a great tool for dealing with decompensation.

1. True
2. False

Answer 6

1. True

Question 7

People with mental disorders are extremely angry people.

1. True
2. False

Answer 7

2. False

Question 8

Symptoms of depression may be brought on by stressful life events, like the death of a loved one.

1. True
2. False

Answer 8

1. True

Question 9

Having a mental disorder increases the likelihood of suicide.

1. True
2. False

Answer 9

1. True

Question 10

Stigma about a mental disorder may impact how care is provided.

1. True
2. False

Answer 10

1. True

Question 11

It is your responsibility to convince a person experiencing delusions that what they believe to be true is not real.

1. True
2. False

Answer 11

2. False

Question 12

A person’s cultural background may influence whether a person with a mental disorder seeks help.

1. True
2. False

Answer 12

1. True

Question 13

Changes in the environment can influence the behaviors of people with a mental disorder.

1. True
2. False

Answer 13

1. True

Question 14

Aggressive behavior is characteristic of depression.

1. True
2. False

Answer 14

2. False

Question 15

When caring for a resident with aggressive behaviors, safety should always be the first concern

1. True
2. False

Answer 15

1. True

Question 16

A “crisis plan” can help with possible interventions during relapse.

1. True
2. False

Answer 16

1. True

Question 17

Mental disorders are easy to diagnose.

1. True
2. False

Answer 17

2. False

Question 18

Bipolar disorder can always be managed with medication.

1. True
2. False

Answer 18

1. True

Question 19

Baseline is when symptoms of a person’s mental disorder become worse

1. True
2. False

Answer 19

2. False

Question 20

With schizophrenia, a peron goes through phases of mania and depression.

1. True
2. False

Answer 20

2. False

Question 21

Depression is a normal part of aging

1. True
2. False

Answer 21

2. False

Question 22

Talking to a person with a mental disorder about suicide increases the risk he or she will do it.

1. True
2. False

Answer 22

2. False

Question 23

Having an Anxiety disorder may make a person worry about his or her condition.

1. True
2. False

Answer 23

1. Ture

Question 24

A person with a mental disorder who is physically aggressive should not be physically restrained.

1. True
2. False

Answer 24

1. True

Question 25

Older people commit suicide more often than younger people. 1. True 2. False

Answer 25

1. True

Question 26

Mr. Thomas is socially withdrawn and sleeps a lot during the day. His behaviors best describe which mental health disorder 1. Schizophrenia 2. Depression 3. Anxiety Disorder

Answer 26

2. Depression

Question 27

It is important to watch for changes in the resident's baseline behavior because it may be 1. A sign that the resident needs to be discharged. 2. A sign that the mental disorder is going away. 3. A sign of decompensation

Answer 27

3. A sign of decompensation

Question 28

The best definition of anxiety disorder is when a person 1. Experiences feelings of fear, worry, or dread along with physical symptoms. 2. Is extremely excited and happy, has lots of thoughts, and difficulty concentrating. 3. Does not have the energy to do enjoyable activities, and stays in his or her room.

Answer 28

1. Experiences feelings of fear, worry, or dread along with physical symptoms.

Question 29

Which of the following would be the most likely contributor to a mental disorder: 1. Medications. 2. Genetics 3. Poor diet and nutrition.

Answer 29

2. Genetics

Question 30

Mr. Smith seems to have a lot of energy and paces around the room a lot. He talks very fast and sometimes doesn't even finish his sentences. At other times, he sleeps a lot and is so tired he doesn't have the energy to do simple tasks. His behaviors best describe which mental health disorder 1. Schizophrenia 2. Bipolar Disorder 3. Anxiety Disorder

Answer 30

2. Bipolar Disorder

Question 31

Joseph Cornell is very depressed. He does not want to eat anything and tells you that he is not hungry. You are worried about him. What is a good tip to remember when communicating with Mr. Cornell 1. Tell him that he needs to eat or he may have to be moved to another facillity. 2. Leave him alone. He will eat when he gets hungry or when he feels better. 3. Remind him that he is not alone and that you will bring him something to eat when he is ready.

Answer 31

3. Remind him that he is not alone and that you will bring him something to eat when he is ready

Question 32

Mrs. Marlquez has no energy or desire to do anything and sleeps most of the time. She tells you that everything is horrible and that she feels hopeless. Mr.s Marquez also complains a lot about her stomach being upset and other physical problems. Her behaviors best describe which mental health disorder 1. Bipolar Disorder 2. Depression 3. Anxiety Disorder

Answer 32

2. Depression

Question 33

Fran tells you she is going to kill herself. What is the most important thing a caregiver should do 1. Do not leave her and keep her safe. 2. Leave the room and report it to your supervisor immediately. 3. Make sure she is observed for three weeks.

Answer 33

1. Do not leave her and keep her safe

Question 34

John Smith has a diagnosis of schizophrenia and experiences delusions. He believes that caregivers are trying to poison him with his medications. He is refusing to take his medication. Your best response would be 1. Document that he is refusing medications and inform your supervisor. 2. Mix the medications with his meal. 3. Continue with your shift since he is not aggressive.

Answer 34

1. Document that he is refusing medications and inform your supervisor

Question 35

The term "mania" is best described as a time when a resident with bipolar disorder 1. Is in an abnormally elevated or agitated mood, along with increased energy and decreased need for sleep. 2. Is at baseline, with normal mood and energy. This is a time when the resident can stop taking medications. 3. Is severely depressed, sleeps a lot, has a change in appetite, and has no energy to do anything.

Answer 35

1. Is in an abnormally elevated or agitated mood, along with increased energy and decreased need for sleep.

Question 36

Josh Smith is in the depression phase of his bipolar disorder. What is the most likely behavior he may experience during this phase 1. Walking a mile for pleasure. 2. Staying in his room instead of going to favorite activities. 3. Talking really fast about lots of different things.

Answer 36

2. Staying in his room instead of going to favorite activities

Question 37

Mable Reed has a generalized anxiety disorder. What is the best way to respond to her repeated questions 1. "Mabel, quit asking the same question over and over." 2. "You seem really anxious today. Let's go for a walk and talk." 3. "Mable, I'm busy helping another resident. Go for a walk."

Answer 37

2. "You seen really anxious today. Let's go for a walk and talk"

Question 38

Edgar Bolender is in the dining room, waiting for breakfast. He is angry with a staff member for not having his favorite kind of jelly on the table. He stands up and threatens to make the staff person "disappear". Your best approach would be 1. Use a problem solving approach to understand and deal with his behavior. 2. Ignore the behavior since his threat is not a real threat. 3. Report him to your supervisor because you feel like he will hurt you.

Answer 38

1. Use a problem solving approach to understand and deal with his behavior

Question 39

A person's cultural background may affect 1. How a person views the mental disorder. 2. The risk of a mental disorder. 3. The age of onset of a mental disorder.

Answer 39

1. How a person views the mental disorder

Question 40

You are a caregiver, caring for a person with a mental disorder. One reason for you to review the resident's "relapse plan" or "crisis plan" is to 1. Identify symptoms to watch for and interventions to try. 2. Learn about mental disorders. 3. Document your concerns.

Answer 40

1. Identify symptoms to watch for and interventions to try.

Question 41

What is the best option to de-escalate or reduce aggressive behavior? 1. Keep your voice steady and calm when speaking to the resident. 2. Tell the resident to stop upsetting the other residents and relax. 3. Tell the resident that you know exactly how he or she feels.

Answer 41

1. Keep your voice steady and calm when speaking to the resident

Question 42

Tom Chance has a bipolar disorder. He likes to shake your hand each time you see him, and he always wants to talk to you about ways to "get out of here." He stands reeally close to you when he talks, which makes you uncomfortable. A good way to deal with Tom would be: 1. Sit with him in the dining room, and place the chairs on opposite sides of the table. 2. Tell him to go and talk to someone else because you need to get back to work. 3. Tell him that you are really uncomfortable with his standing too close to you.

Answer 42

1. Sit with him in the dining room, and place the chairs on opposite sides of the table

Question 43

A person experiencing depression may: 1. Talk really fast. 2. Have difficulty concentrating. 3. Experience an increased heart rate.

Answer 43

2. Have difficulty concentrating

Question 44

Jessica Jones has major depression. she chooses not to leave her room all day, claiming that she would rather stay in bed, with the lights off and the curtains closed. Your best response to her would be 1. "Fine. I'll check on you later to see if you're feeling better." 2. "I'd like to sit with you for awhile. Is that okay?" 3. "Why are you so depressed? You have a good life."

Answer 44

2. "I'd like to sit with you for awhile, is that okay?"

Question 45

Earl Miner tends to become very animated when he is in a manic phase. When working with Earl, it is important to 1. Remind and encourage Earl to slow down and relax. 2. Give him medication to sedate him. 3. Encourage him to exercise and keep busy.

Answer 45

1. Remind and encourage Earl to slow down and relax

Question 46

Jeff Briggs is hallucinating. He hears voices telling him that he needs to hurt himself. He asks you if you hear the same voices. Your best response would be 1. "Yes, I hear the voices, but they are telling you NOT to hurt yourself." 2. "You are not well. I'm calling my supervisor, then 911." 3. "No, I don't hear the voices, but I believe that you hear them."

Answer 46

3. "No I don't have the voices, but I believe that you hear them"

Question 47

Mrs. Smith says, "I've lived long enough and I want to die now." Your best response to Mrs. Smith would be: 1. "We're all getting older, and everyone's time will come." 2. "I'm worried about you. Are you planning to hurt yourself?" 3. "It's up to a higher power to decide when it's your time."

Answer 47

2. "I'm worried about you. Are you planning to hurt yourself?"

Question 48

A good tip to remember when working with a person with a mental disorder who is actively hallucinating is to: 1. Enter his or her reality and validate the hallucination. 2. Find out the nature of the hallucination to assure safety. 3. Sit down next to him or her and introduce yourself.

Answer 48

2. Find out the nature of the hallucination and assure safety

Question 49

Ted Webber has an anxiety disorder. He spends a lot of time asking staff when the next meal is, and is very nervous that he will miss a meal. A good thing to remember when working with Ted would be to: 1. Allow Ted to talk about his fears or concerns. 2. Tell Ted that he needs to not worry so much. 3. Make sure Ted has had his medication.

Answer 49

1. Allow ted to talk about his fears and concerns

Question 50

Andrea Church, a resident with schizophrenia is sitting in the hallway telling each person who walks by that the lunch has been poisoned. Other residents are beginning to complain about Mrs. Church. Your best intervention would be to: 1. Tell the other residents to ignore her, and you will take care of it. 2. Tell Mrs. Church that her behavior is annoying the other residents. 3. Ask Mrs. Church to tell you how she is feeling today and how you can help.

Answer 50

3. Ask Mrs. Church to tell you how she is feeling today and how you can help