QUIZ 2020, questions and answers PDF

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MODULE 1 AND 2 1. What percentage of Australians will experience a mental illness during their lifetime? A. 65% B. 70% C. 25% D. 45%

2. In the Recovery model, which term creates a power imbalance: A. Client B. Service User C. Patient D. Consumer 3. The social determinants of mental health include: A Independence, self-esteem and meaningful quality of life . B. Housing and Food; Activity, Employment and Income; Education; Social Connectedness, Justice and Equity C. Giving, being active, and connecting D Being healthy, feeling safe, feeling secure in the future . 4. Stigma, or discrimination against someone with a diagnosis of mental illness, can affect which parts of this person’s life? A Furthering their education will be too stressful for the person . B. The person can never have a long-term relationship or have children C. Employment, access to health services, education, insurance and personal relationships D The person will always be unemployed . 5. Aboriginal people may interpret the direct questioning about themselves as: A Fine as long as the nurse or midwife does not use direct eye contact . B. A way of creating a collaborative partnership with them C. Beneficial because the nurse or midwife really understands what they are going through D Hostile because Aboriginal people ask questions that are community . focussed not focussed on an individual

6. The rate of death from suicide among Aboriginal and Torres Strait Islander peoples is:

A. B. C. D.

About the same as for non-indigenous people Much lower than non-indigenous people 10 times the rate of non-indigenous people 2.5 times the rate of non-indigenous people

7. What is the most significant contributing factor to a person’s risk of suicide? A Anyone who has their suicide risk assessed by a health professional . B. Women, the LGBTIQ community, those living in rural and remote communities C. Previous suicide attempts D Men, those aged between 15 and 24 years and living in a city . 8. Recovery is: A A model that helps a person diagnosed with mental illness recognise their . limitations B. A strength-based model of care C. A way of helping a person diagnosed with mental illness find hobbies so they don’t get bored D A biomedical model that focuses on a person’s signs and symptoms . 9. Cultural safety is defined as: A Being able to speak another language . B. Having a good knowledge of your own culture C. An outcome of nursing and midwifery education that enables safe service to be defined by those that receive the service D Not upsetting people from CALD or Indigenous background . 10. In the Recovery Model of Care the consumer is: A. Given all the support they require B. Isolated from their family C. Placed at the centre of care D. Is told by the healthcare professional what they need to do to get better

11. The World Health organisation defines Mental Health as: A A psychological state where a person enjoys life and balances their life events

. to achieve psychological equilibrium B. When a person is happy C. A state of well-being in which every individual realises his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his community D When a person is not stressed . 12. Women are most vulnerable to experiencing mental illness when: A. They are older B. They feel stress C. They start university D. They give birth to a baby 13. What question does the nurse or midwife ask to promote self-care and independence when a person is encountering challenges with their mental health: A. What can I do to help you? B. How did you overcome these difficulties in the past? C. Have you taken your medication today? D. Did you speak to your doctor about this? 14. Contributing factors to mental health problems include: A. Being close to family B. Social exclusion C. Having a stable intimate relationship D. Feeling satisfied with a job 15. Which skills are important for nurses and midwives when caring for a person experiencing mental illness: A. Reflection, awareness and being open to change B. Knowing when to leave the person alone C. The ability to cheer the person up D. A good knowledge of the medications the person will take 16. How many people in Australia will attempt to die by suicide every day? A. 34 B. 17 C. 30 D. 49

17. The Recovery model recognises that:

A . B. C.

Frequent case conferences will convince the person diagnosed with mental illness what care is best for them The psychiatrist is the expert in mental health care and treatment The person who is diagnosed with a mental illness is the expert in their experience of illness D The family of the person diagnosed with mental illness should decide what is . best 18. The Diagnostic and Statistical Manual V defines mental illness as: A A syndrome characterized by clinically significant disturbance in an . individual’s cognition, emotion regulation, or behaviour that reflects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning B. A weakness of character C. Being crazy D Being violent . 19. To provide culturally sensitive and quality care, nurses and midwives must: A Only care for persons who are the same culture as themselves . B. Find out as much as possible about other cultures C. Acknowledge a person’s lived experience of their illness and their treatment D Always be willing to listen to cultural representatives accompanying the . person when they present at your service 20. Which part of the brain is responsible for emotions and memories: A. The Frontal Lobe B. The Brain Stem C. The Occipital Lobe D. The Limbic System 21. Factors that promote a sense of well-being include: A Feeling happy . B. Having a high paying job C. Being the best you can possibly be D Being healthy, feeling safe and having a sense of achievement and . purpose 22. Trauma Informed Care assists nurses and midwives to: A Always ask questions about a person’s trauma so they will open up to the . nurse or midwife B. Understand how to avoid retraumatising a person C. Avoid talking to a person about their past trauma D Not assume that a person who is mentally ill has a history of trauma

. 23. The stigmatisation of people challenged by mental illness may cause the person to: A. B. C. D.

To avoid getting help for their illness Feel accepted and safe in their community Stay in hospital Seek help from healthcare professionals

24.What percentage of women will experience a mental illness after the birth of a child? A. 2- 8% B. 35- 42% C. 13- 20% D. 5 - 12%

MODULE 3 – CARING FOR PERSON WHO EXPERIENCE ANXIETY DISORDER 1. Anxiety is a normal reaction to danger or stressful situations that: Initiates the Flight/Fight or Freeze response to combat the danger Enables a person to not feel afraid Helps a person feel more motivated to deal with the danger Should be avoided at all times 2. A phobia is: Diagnosed after a person has one episode of anxiety when placed into a specific situation An anxiety disorder that develops when the person is a baby A transient fear of an object, place or situation A persistent, intense and irrational fear reaction when a person is faced with a specific situation 3. Agoraphobia is: A Fear of social situations A fear of open spaces or public spaces A fear of the dark A fear of spiders 4. Anxiety can distort emotions, leaving a person feeling:

A sense of doom They are alone without friends Overwhelmed, fearful and hopeless They will fail their exams 5. An obsession is defined as: An unreasonable fear of an object or a situation Repetitive behaviours or mental acts that a person performs to reduce anxiety Intrusive, recurrent and persistent thoughts causing anxiety or distress Feelings of restlessness or muscle tension

6. Some organic disorders can produce symptoms very similar to anxiety. These include: Diabetes Renal Disease Asthma Constipation 7. A Recovery approach to Anxiety requires: An understanding of the psychiatrist’s orders A good knowledge of medications A collaborative therapeutic relationship An understanding that the person really doesn’t know what they need 8. Generalised Anxiety Disorder is characterised by: Being able to sit still and enjoy watching TV Excessive and difficult to control worry about events and activities

A feeling of calm and relaxation A sudden onset when a person finishes high school

9. The most common anxiety disorder experienced in Australia is: Separation Anxiety Social Phobia Panic Disorder Post Traumatic Stress Disorder 10. When nurses and midwives take a trauma informed care approach to anxiety, they: Avoid any discussion about a potential trauma in case they trigger an anxiety reaction Consider any traumatic event that might contribute to the development of an anxiety disorder Understand that any discussion of an event that might have triggered the anxiety disorder is not helpful Know that anxiety disorders are irrational and not necessarily based on traumatic events 11. A person with Social Anxiety Disorder may believe that: They will be embarrassed, humiliated and judged negatively by others in social situations Everybody loves them They are naturally introverted

They have always been told they are shy

12. A person’s response to stress can be affected by: Genetic Vulnerability, Exposure to Stressful Events and patterned responses to stress

Not doing well in the HSC Daily stressors in their life like traffic getting to university or work

Their parents

13. A person may develop Post Traumatic Stress Disorder by Experiencing anxiety as soon as the event occurs Remembering a traumatic event Watching details of a natural disaster on the news Witnessing trauma first-hand or by vicarious traumatisation 14. When a person experiences Post Traumatic Stress Disorder, it is hypothesised that their memories: Are complete memories that induce anxiety when they are remembered Are stored in the Frontal Lobe Are stored in the Hippocampus Are Incomplete, inappropriately stored and contain generalised, catastrophic threat cues 15. Treatment for Anxiety relies on: Treatment decisions being based on the DSM V

The person cooperating with the nurse or midwife Nurses and midwives assisting the person to regulate their own emotional responses The family agreeing to treatment

16. How can a nurse or midwife assist a person to engage with mental health services? Making the person a cup of tea or coffee Conveying a sense of unconditional positive regard Asking lots of questions about the person’s symptoms Booking them in to see the doctor 17. Medication should be used in Anxiety Disorders:

Without explanation about side effects When a person gives consent and understands the limitations and understands the side effects of medication As a first line approach As a long-term solution 18. Nurses and midwives can provide psychoeducation to a person experiencing an anxiety disorder by: Ensuring that you have brochures about the anxiety disorder so the person can read them Conducting a thorough assessment of the person’s experience and using the person’s own story to develop strategies to overcome their anxiety Directing the person to a self-help group Avoiding the topic so the person is not distressed 19. Nurses and midwives can provide psychoeducation to a person experiencing an anxiety disorder by: Ensuring that you have brochures about the anxiety disorder so the person can read them Conducting a thorough assessment of the person’s experience and using the person’s own story to develop strategies to overcome their anxiety Directing the person to a self-help group Avoiding the topic so the person is not distressed 20. Post Traumatic Stress Disorder has high co-morbidity rates with: Cerebral-Vascular Accident Diabetes Ischaemic Heart Disease Substance Abuse Disorder 21. A person’s usual adaptative response to stress can become debilitating (weakened) when a person: Develops a potentially vicious cycle of anxious physiological reactions, anxious thinking, anxious feeling and anxious doing Has a fight with their best friend Has a lot of assessments to complete at the end of semester Starts thinking about their childhood 22. A person experiencing a panic attack might believe they are experiencing a heart attack MODULE 4 – CARING FOR A PERSON WHO EXPERIENCE DEPRESSION

1. A person experiencing depression will have: Lots of energy and a desire to talk about what's happening in another person's life A desire to socialise Negative and self-absorbed thoughts Positive, happy thoughts

2. The causes of postnatal depression could be: Being a solo parent Not really wanting the baby A woman's problem with their partner's family Hereditary, a previous history of depression, difficult relationships and social isolation 3. Periods of sadness and grief are: A major concern for families of the person expereincing the sadness and grief A normal part of life Something that should be assessed for mental illness Something that should be treated with medication and therapy 4. What are the 'Baby Blues'? A condition that occurs when a new mother leaves hospital A transient (temporary) disturbance in mood after the birth of a baby A condition that does not resolve without treatment A condition that can last 6 months after the birth of a baby 5. Pro-Infammatory cytokines may: Underpin the body's inflammatory reaction to stress Stop a person getting Covid 19 while they experiencing depression Prevent inflammation due to a Stress reaction Protect a person from Depression 6. Nursing and Midwifery Interventions for depression include: Telling the person to get over it Being genuine and honest Telling the person that its all in their head Calling the doctor to prescribe or increase a person's medication 7. Nurses and Midwives should treat anger when a person is depressed as: A sign that the person does not want to see their family Part of the person's illness and not take it personally As a sign of abuse towards staff and call security A sign that they need medication immediately 8. A person experiencing depression may describe their mood as: Feeling like they could anything

Feeling hopeless, worthless and powerless Feeling as if nobody understands them A bit annoyed with the world 9. Which system controls the release of cortisol and thyroid hormones: The Limbic System The parasympathetic nervous system Hypothalmic-Pituitary-Adrenal Axis The sympathetic nervous system

10. According to Bowlby, a person may go through the following stages when experiencing grief A major depressive episode Shock and Protest; Preoccupation; Disorganisation; Resolution A persistent depressive episode They may not experience grief at all

11. A person with depression should be encouraged to take part in activities because: They can make Christmas presents for the other clients in the clinical setting There is nothing worthwhile on TV There is no point sitting around doing nothing It's good for their self-esteem

12. Depression may not be identified because a person complains of: Decreased concentration Decreased appetite Feeling low

Physical Symptoms

13. Women are more likely to develop depression because: They may be more sensitive to social environments and have a greater inflammatory response to stress They talk about their feelings more They never discuss how they feel They have a lower inflammtory response to stress and don't care about their social environment

14. Hypersomnia is: Waking up too early in the morning Not being able to get to sleep Waking up in the middle of the night Sleeping for large amounts of the day

15. What percentage of women may experience postnatal depression? 20% to 22% 45% 1% to 2% 10% to 15%

16. Psychomotor retardation is when a person: Loses interest in social events Needs to have a nap in the afternoon

Eats more Moves, thinks and performs tasks more slowly

17. A person with depression should be treated with: Conditional positive regard As a pain to be around As someone who is always whinging As a loser

18. Symptoms of depression in older adults can mimic: Dementia Heart Disease Diabetes Loneliness

19. An episode of grief may become major depression if: A person doesn't get over their grief quickly A person feels a sense of loss and sadness A person is locked in the disorganisation and despair stage of Bowlby's Stages of Grief A person has a loss of sleep or appetite

20. Persistent depressive disorder can be diagnosed if a person reports mild depressive symptoms lasting for how long? 2 years 10 years 2 weeks

For 6 weeks after the death of a loved one

21. Nurses and Midwives should treat anger when a person is depressed as: A sign that the person does not want to see their family A sign that they need medication immediately Part of the person's illness and not take it personally As a sign of abuse towards staff and call security

22. According to the Australian Bureau of Statistics in 2007/2008, how many Australians reported having a mood disorder? 5 million people 2.1 million people 500,000 people 1.2 million people

23. In June 2012, it was reported that the following percentage of older adults living in care had symptoms of depression: 52% 76% Nil 12%

24. Nurses and midwives should help people with depression: To understand that what they are experiencing is just not reality To understand that it will be difficult for a person with depression to hold down a job

To understand that they will always have episodes of depression To make positive decisions such as having a shower or making their bed

MOD U L E 5 – C A R I N G FOR PE R OPL E W HO E X PE R I E N C E S E L FHA R M, S U I C I D A L I D E AT I ON A N D OT HE R C R I S I S 1. In 2013, how many Australia males died by suicide in every 100, 000? 67.2 16.4 3.7 Nil 2. Deliberate self-harm is: Only used to cause external injuries Not dangerous because it is a cry for help A means of managing distressing emotions A way of seeking attention 3. If a person is considering suicide, nurses and midwives can make a profound difference by: Developing a therapeutic relationship Not talking about suicide as it will give them ideas Leaving the person alone Knowing there is nothing they can do to prevent a person taking their own life if that is what they really want to do 4. Risks factors for violence include: A person who is homeless A person who doesn't have a job A person experiencing a mental illness Substance misuse and a previous history of violence 5. Social relationships are: Not bound by a time frame Strictly limited in length Guided by professional responsibility Based on the other person's needs 6. Clinical supervision is a time when: A nurse or midwife meets with a senior clinician and reflects on their practice in a process of continuous improvement A nurse or midwife works with a senior clinician A nurse or midwife is supervised learning a new skill A nurse or midwife has their performance review

7. Engaging a person therapeutically after they self harm requires: That the nurse or midwife calls the doctor to order antibiotics in case the wound becomes infected That the nurse or midwife looks beyond the wound and develops a therapeutic relationship to understand why the person self-harms That the nurse or midwife tells the person that this behaviour wastes clinician's time because they have to clean up the mess That the nurse or midwife cleans and dresses the wound immediately 8. Factors that contribute to the higher rate of indigenous people dying by suicide include: Lower education rates, lower employment rates, poor access to health services Living away from family Feeling equal to everyone in Australian society Cultural factors such as not being on Country 9. Person Centered Care is an important part of mitigating challenging behaviour The person will develop the bounda...