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Test 6: Special social issues in maternal mental health

  1. Poor women are more likely to have mental health problems because:
    • They are lazy
    • They may suffer from malnutrition
    • They usually have too many children
    • They don’t have access to church
  2. Women feel supported if:
    • They are left alone to sort out their problems
    • They are told that they will be able to manage
    • The community disapproves of women with mental illness
    • They are given practical help with their problems
  3. Why is it difficult for poor women to access help for mental health problems?
    • They are confused and out of touch with reality and so cannot get help
    • They have the same access as everyone else so should have no more difficulties
    • The women may not feel worthy of support
    • They are supported by the Department of Social Development and so have good access to mental health care
  4. How can a health or social worker support a woman with few resources?
    • Tell her to get a job
    • Listen to her, show kindness and respect
    • Inform her husband that she needs more care
    • There is nothing that can be done, that is the job of a social worker
  5. What typical teenage behaviour can be confused with symptoms of mental illness?
    • Aggression or withdrawal
    • Chewing gum
    • Having acne
    • Being sexually active
  6. How can a health or social worker support a pregnant teenager?
    • Tell her to behave like an adult; she is going to be a mother
    • Advise her to make better choices for her future
    • Warn her that she is irresponsible: sexually transmitted diseases and lack of contraception are dangerous
    • Don’t judge her, show kindness and respect
  7. In South Africa, what percentage of pregnancies are unintended (unplanned)?
    • None, all are intended
    • 6% are unintended
    • 16% are unintended
    • 60% are unintended
  8. Which statement regarding unwanted pregnancy and mental health is true?
    • All women with mental illness should terminate their pregnancies
    • Once a woman has had a termination, she will always be mentally ill
    • The choice to terminate or keep a pregnancy can cause mental distress
    • Adoption is the best option for mental wellbeing
  9. Does a health worker need to provide information on termination?
    • No, this is a personal decision
    • Yes, she is legally required to provide information
    • Sometimes, it depends on how far advanced the pregnancy is
    • Always, she needs to assist with providing terminations
  10. Which statement regarding adoption is true?
    • A closed adoption means that the identity of the birth parents are not given to the adoptive parents
    • A closed adoption means that the door is closed so that the birth mother can say goodbye to her baby in private
    • A disclosed adoption means that the adoptive parents’ HIV status must be known
    • A disclosed adoption means that the identity of the birth parents are not given to the adoptive parents
  11. What makes it more likely for refugees to suffer from mental illness?
    • Most foreigners are mentally ill
    • Refugees are supporting families back home
    • They are not more at risk because communities usually welcome foreigners and provide support
    • Refugees may have suffered from violence during war and might lack a reliable support system
  12. Which of the following statements about domestic violence is true:
    • These are acts of violence committed by a stranger in one’s home
    • Domestic violence is rare in South Africa
    • Domestic violence is likely to increase during pregnancy
    • Only men can suffer from domestic violence
  13. With reference to domestic violence, the letters IPV stand for the words:
    • Internal perforation – violent
    • Indigo, purple, violet – bruise categories
    • Independent personal victim
    • Intimate-partner violence
  14. Emotionally abusive behaviour is:
    • Your own fault for choosing an abusive partner
    • Letting your emotions get in the way of your behaviour
    • The repeated use of harmful behaviours to control someone
    • Not letting your behaviour be influenced by how you are feeling
  15. The ‘cycle of violence’ occurs because:
    • The woman hopes that the abuser will change, but the behaviour keeps being repeated
    • Violence is like a cyclone in the damage it can cause
    • Cycling on the road causes road rage in car drivers
    • The abuser will need to ‘get on his bike’ and leave because of what he has done
  16. What are some of the possible psychological effects of abuse?
    • Feeling helpful
    • Feeling hopeful
    • Feeling humiliation
    • Feeling hungry
  17. What are some of the warning signs of emotional abuse?
    • Excessive spending
    • Often going partying without a partner
    • Being restricted in seeing family and friends
    • Wearing provocative clothing like skimpy tops and short skirts
  18. How can a health or social worker support an abused mother?
    • Tell her that she must leave the abuser
    • Listen to her story
    • Ask her why she lets him get away with it
    • Tell her to go to the police station so that she can lay a complaint
  19. Child neglect is:
    • Failure to get the child’s attention
    • Failure to get the child to school on time
    • Neglecting to pick up after the child has thrown food on the floor
    • Failure to provide adequately for the child’s emotional or physical needs
  20. What is the best way for a health or social worker to help an abused child?
    • Contact Social Services or Child Welfare because the child’s life is at risk
    • Ignore the problem, the child will grow up and leave home anyway
    • Hit the mother so she knows what it feels like
    • Threaten to send her husband to jail as he is part of the problem