Mindful Continuing Education

Helping Families Cope with Mental Illness

Major Mental Illness

1. According to the authors, while a single symptom or isolated event is not necessarily a sign of mental illness, professional help should be sought if symptoms of social withdrawal, depression, thought disorders, inappropriate expression of feelings, or _______________ increase or persist.

A. Excessive worry B. Unusual behavior C. Significant tiredness D. Trouble relating to others

Kinds of Mental Illness-Schizophrenia

2. When the symptoms of schizophrenia first appear, the person may feel tense and have difficulty concentrating, may begin to withdraw, and may exhibit deterioration in school work, work performance, and general appearance.

A. True B. False

Mood Disorders

3. Symptoms of hypomania include each of the following EXCEPT:

A. Euphoric, expansive mood, irritable mood B. Boundless energy, enthusiasm, and activity C. Rapid, loud, disorganized speech D. Increased need for sleep due to overstimulation

Serious Disorders of Children and Adolescents

4. Tourette's disorder often begins when a child age 8 to 10 begins to have tics such as eye blinking, grimacing, or shoulder jerks, and then later exhibits sudden vocalizations, and still later with the majority of these individuals frequently uttering obscene words out of context.

A. True B. False

Crisis Intervention

5. In most cases of mental health crisis, there are rarely any warning signs that unusual problems are about to occur, so family members must always have a plan to help the individual in case serious deterioration in the condition occurs.

A. True B. False

Seeking Treatment

6. When the need for mental health treatment is evident, family members may be at a loss to know what to say or do, but it is important to be honest and trustworthy and to let the relative know that he or she is loved, and that his or her feelings and experiences will be respected.

A. True B. False

Medications

7. Which of the following is NOT a true statement about the side effects of medications used to treat mental illness?

A. Although people are highly variable in regard to how much benefit they will get from a drug, and the type and severity of the side effects they will experience are much more consistent depending on the medication B. While side effects usually are evident soon after starting to take the medication, the desired effect may not be seen for several weeks, and may take months of continuous use before the maximum benefit is evident C. Some side effects, especially those that appear early, are temporary and may go away or become less severe after a few weeks D. Most side effects are related to drug dose, so the higher the dose, usually the worse the side effect will be

Antipsychotics

8. The most common side effects of antipsychotics used to treat symptoms of psychosis, Alzheimer's or bipolar disorder include:

A. Muscle weakness, thirst, and frequent urination B. Allergic reactions, restlessness, and muscle spasms C. Nightmares, sexual dysfunction, and increased seizure activity D. Loss of coordination, fatigue, and confusion

Antidepressants

9. Some serious reactions such as hypertensive crisis, rapid heart rate, and chest pain may result when monoamine oxidase inhibitors (MAOIs) are given with certain foods and drugs.

A. True B. False

Mental Health Professionals

10. Social workers are generally the most appropriate professionals to help clients coordinate needed treatment and services from a variety of community agencies and to assist in obtaining access to housing, rehabilitation services, and income programs such as SSI and SSDI.

A. True B. False

Ongoing Treatment

11. Serious mental illness is usually a long-term condition, and often times family members have to learn that there is no cure to be realized, and the best thing they can do is help their loved one with the appropriate diagnosis and treatment, a safe, stable place to live, and a chance to develop or relearn social and vocational skills.

A. True B. False

Mental Illness and the Family-Reaction of Family Members

12. For family members, it is helpful to avoid placing blame and guilt, and to focus on the present rather than the future, as thoughts of future plans may be overwhelming for everyone involved.

A. True B. False

13. While family members are instructed not to go along with delusional thinking since the individual with mental illness needs to be able to depend on a person who is objective and aware of what is really happening, it is also recommended that they do not argue with this type of thinking or try to point out faulty logic.

A. True B. False

Individuals with Mental Illness in the Community-Housing

14. Some states have homes that are licensed by the Department of Social Services to provide 24 hour care and supervision of residents, but generally offer little in the way of planned activities or rehabilitation services, known as:

A. Community Mental Health Group Homes B. Partial Independent Living Facilities C. Supportive Adult Housing D. Adult Foster Care Homes

15. Psychosocial rehabilitation programs for adults with mental health disorders should include recreational opportunities, employment-related training and assistance, assistance toward independent living, and training in:

A. Life skills B. Conflict resolution C. Social skills D. Problem solving

Jails and Jail Diversion

16. Although it should be the goal of the family, the person with mental illness, and the mental health system to eliminate involvement with the criminal justice system, an initial arrest may provide the first opportunity to identify mental illness and connect the individual with Community Mental Health services.

A. True B. False

Financial Considerations- Supplemental Security Income (SSI)

17. To be eligible for SSI based on disability, a person must meet each of the following requirements EXCEPT:

A. Have a physical impairment which prevents an adult from doing any substantial gainful work, or prevents the child from performing normal activities of daily living, and has lasted or is expected to last at a year or to result in death B. Have little or no income or resources C. In the case of a child under 18 living with his family, his or her family must have little or no income or resources D. Has been diagnosed with a serious mental impairment that meets standardized diagnostic and results in a serious functional impairment which substantially interferes with or limits one or more major life activities

Working with the System

18. In order to better help the family member who has a mental illness, it is important to keep accurate records of everything, including significant names, addresses, phone numbers, dates of crisis events, admission/discharge dates for hospitalization, and notes of relevant conversations and conferences.

A. True B. False


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