Deck 10: Mental Health

Question 1

At her new job at the state department of health in Pennsylvania, Janice is tasked with overseeing a new mental health outreach program. She begins with an assessment of the population at greatest risk. Based on 12-month prevalence of serious mental illness (SMI) at the national level, which group would be at greatest risk for SMI among those aged 18-44?
1)Males
2)Females
3)Those reporting two or more races
4)American Indian/Alaska Natives

Answer 1

3

Question 2

At her new job at the state department of health in Pennsylvania, Janice is tasked with overseeing a new mental health outreach program. She found it challenging to estimate the prevalence of mental disorders in the U.S. primarily due to what issue?
1)There is no consensus on what constitutes a mental disorder.
2)HIPAA laws prevent review of medical records.
3)There are no health surveys that include data related to mental health.
4)There is no centralized method of conducting surveillance of mental health disorder.

Answer 2

4

Question 3

A nurse considering a career in behavioral health learns that the ____ mandates that group health plans of 50 or more persons, which cover mental health and substance use disorders, must provide benefits equivalent to or better than those benefits provided for medical or surgical benefits.
1)Mental Health Parity Act
2)Community Mental Health Centers Act
3)Affordable Care Act
4)None of the above

Answer 3

1

Question 4

____ is a combination of personal attributes and societal stereotypes related to human characteristics viewed as unacceptable and results in social disapproval.
1)Indicated prevention
2)Stigma
3)Risk factors
4)Transinstitutionalization

Question 5

Persons who are emotionally healthy are able to: (Select all that apply.)
1)Meet the demands of everyday life.
2)Function in society.
3)Experience alterations in thinking.
4)Adapt to change.
5)Cope with challenges.

Question 6

Latisha, a recent graduate nurse working in a large urban medical center in the emergency department, noticed that a number of the patients coming in were adolescents who had attempted suicide. The patients she was particularly concerned about were those who identified as LGBTQ+. Latisha reviews current data on prevalence of suicide and suicide attempts and brings the evidence to her nurse manager that LGBTQ+ adolescents are at greater risk for suicide than their peers and suggests that the most likely community risk factors contributing are _________ and _______ .
1)Stigma and shame
2)Family disapproval and shame
3)Culture and family disapproval
4)Stigma and culture

Question 7

More than 6% of the U.S. adult population is affected by ____ each year. It is the leading cause of disability for people ages 15 to 44 and is more prevalent in women than men.
1)Postpartum depression (PPD)
2)Schizophrenia
3)Major depressive disorder (MDD)
4)Posttraumatic stress disorder (PTSD)

Question 8

The nurse wishes to choose a reliable screening tool to help identify patients in her clinic who may have depression. Which of the following tools are used to screen for depression?
1)Patient Health Questionnaire 2
2)Center for Epidemiological Studies Depression Scale (CESD-10)
3)Brief Symptom Checklist-18 of the My Mood Monitor (M-3)
4)Both A and B

Question 9

The World Health Organization (WHO)'s Mental Health Improvements for Nations' Development (MIND) model includes four components. Which one of the following is not one of the components?
1)Policy, planning, and service development
2)Human rights and legislation
3)Access to appropriate mental health services and quality
4)Poverty and development

Question 10

At her new job at the state department of health in Pennsylvania, Janice is tasked with overseeing a new mental health outreach program. Her last step at the beginning of her assessment was to identify the greatest risk based on community-level risk factors. What community-level risk factors might she include? (Select all that apply.)
1)High crime rate
2)High poverty rate
3)Lack of mental health services
4)Family instability

Question 11

At her new job at the state department of health in Pennsylvania, Janice is tasked with overseeing a new mental health outreach program. Janice researched what factors at the individual level might be associated with increased risk for developing a SMI. Which of the following are specifically individual-level risk factors that may contribute to the development of mental disorders? (Select all that apply.)
1)Hormonal imbalance
2)Physical trauma
3)Malnutrition
4)Limited educational opportunities

Question 12

Latisha, a recent graduate nurse working in a large urban medical center in the emergency department (ED), noticed that a number of the patients coming in were adolescents who had attempted suicide. The patients she was particularly concerned about were those who identified as LGBTQ+. Latisha requested permission from the nurse manager to conduct a quality improvement project with a focus on screening all adolescent patients that might be at risk for depression. For a comprehensive screening program, which of the following would be included in the program?
1)All adolescent patients will be screened for depression when they are admitted to the ED.
2)Patients with positive screens are referred for further evaluation.
3)Before being discharged, all adolescents will complete a questionnaire specific to depression symptoms and the nurse will notify appropriate persons (for example, a social worker) for those with positive screens.
4)All of the above.

Question 13

A PHN is helping develop an outreach treatment program for adults in the community who have been diagnosed with a mental health disorder. She understands that the burden of treatment was shifted to the community through which of the following:
1)Deinstitutionalization
2)The Affordable Care Act
3)Health reform at SAMSHA
4)Title XIX of the Social Security Act

Question 14

A student nurse is studying stress and mental health. The student nurse learns that ____ is based on an individual's ability to access protective factors that exist at different levels to withstand chronic stress or recover from traumatic life events.
1)Intervention
2)Support
3)Resilience
4)Therapy

Question 15

To help best use limited resources, the PHN has developed a ____ prevention program for specific subgroups at highest risk for development of a mental disorder or those that are showing early signs of a mental disorder.
1)Indicated
2)Selective
3)Universal
4)Both A and B

Question 16

A community health group focused on optimizing the health of a large urban community decides to include mental health as a priority. However, they have limited data on mental health. What would be an example of primary data on the mental health of the community that would help them further determine if it is indeed a priority?
1)Discharge rates for persons with mental health disorder diagnoses from local hospitals
2)Violent crime rate trends over the past year
3)Data from available national surveys such as the National Health Interview Survey, and Behavioral Risk Factor Surveillance System
4)Data they obtained using their community health survey on Health-Related Quality of Life (HRQoL)

Question 17

A PHN is currently working in a community with a high poverty rate as part of a team to help address the increasing prevalence of serious mental illness especially among adolescents. During a team meeting, the members of the community begin talking about the need to engage more stakeholders including government agencies, grass roots groups, nonprofits, and businesses. Invitations are extended, and many of these stakeholders agree to send representatives who will work in tandem with the team during their planning phase. This interrelationship is called:
1)Indicated prevention.
2)Intersectoral strategies.
3)Health-Related Quality of Life.
4)Institute of Medicine Model of Prevention.

Question 18

During the past decade, the morbidity and mortality rate of serious mental illnesses (SMIs) has increased, showing that persons diagnosed with an SMI die ____ years earlier than those in the general population. 1.5-10
2)25-35
3)10-20
4)10-15

Question 19

When working with a community assessment team, the PHN stresses that it is important to assess the mental health as well as the physical health of the community. An indicator or indicators of mental health in the community that could be included in the assessment include:
1)Strong social networks.
2)Availability of behavioral health services.
3)Safe place to work and live.
4)Both A and C.