Unit 7.3: Mental Health Promotion and Care

• Topic 01

  Mental Health Act Sections and Patient Rights

  48 questions
• Topic 02

  Common Mental Health Conditions

  45 questions
• Topic 03

  Risk Assessment — Suicide and Self-Harm

  30 questions
• Topic 04

  Recovery Model and Trauma-Informed Care

  45 questions

A few questions from this unit, with the answer and a full explanation. The complete bank is available when you start practising.

1. Which of the following is the SINGLE MOST predictive static risk factor for a future suicide attempt?

   • A
     A previous suicide attempt
     Correct answer
   • B
     A diagnosis of depression
   • C
     Living alone
   • D
     Unemployment
   Explanation

   A previous suicide attempt is the single most predictive static (historical) risk factor for a future suicide attempt. This is consistently supported by research. While diagnosis, sex, social factors, and family history are all risk factors, none has the predictive weight of a prior attempt. This is why previous attempts must always be thoroughly assessed, including lethality, intent, and circumstances.

2. A patient with schizophrenia says 'I still hear voices sometimes, but I manage a part-time job and I feel like my life has meaning again.' Which of the following MOST accurately describes this person's recovery status from a personal recovery perspective?

   • A
     This person is in clinical recovery only because symptom control is incomplete
   • B
     This person has not achieved recovery because they still experience symptoms of schizophrenia
   • C
     This represents a partial recovery; full recovery requires complete symptom remission and full-time employment
   • D
     This person is in personal recovery — they are living meaningfully despite persistent symptoms, which aligns with the recovery model's definition
     Correct answer
   Explanation

   In the recovery model, recovery is not defined by symptom absence. This person is demonstrating personal recovery: they are managing symptoms, engaging in meaningful activity, and experiencing a sense of purpose. This is precisely the outcome the recovery model aims to support. Clinical concerns about residual symptoms should still be addressed, but persistent symptoms do not mean the person has failed to recover.

3. A patient with depression feels excluded from their community since becoming unwell. They have lost friendships, stopped attending their faith group, and feel isolated. Which component of the CHIME framework is MOST relevant to this experience?

   • A
     Engagement
   • B
     Identity
   • C
     Connectedness
     Correct answer
   • D
     Meaning
   Explanation

   The 'C' in CHIME stands for Connectedness — having peer support, relationships with others, belonging to a community, and social inclusion. The patient's loss of friendships, community ties, and social participation is a deficit in connectedness. Nursing interventions to support this might include facilitating peer support groups, helping the patient reconnect with their faith group, and developing a recovery-focused care plan that includes social goals.