Deck 3: Mental Health and Primary Care: a Critical Intersection

Question 1

Research suggests the delivery of disparate health services is most prevalent among patients who receive mental health treatment in which setting?

A) Primary care
B) Psychiatric
C) Community health
D) Pediatric

Answer 1

Primary care

Question 2

The term "co-occurring diagnosis" best describes a patient who is diagnosed with which concurrent health alterations?

A) Schizophrenia and opioid abuse disorder
B) Emphysema and chronic bronchitis
C) Hypertension and borderline personality disorder
D) Bipolar depression and conduct disorder

Answer 2

Schizophrenia and opioid abuse disorder

Question 3

Explain the bidirectional nature of dual diagnosis.

Answer 3

General risk factors are often present for both mental illness and substance use. Substance use may be secondary to a psychiatric disorder; however, a psychiatric disorder may also develop secondary to substance abuse. Commonly, dual-diagnosis is bidirectional, meaning the conditions contribute to one other.

Question 4

Which disorder most significantly impacts out-of-home placement for children?

A) Conduct disorder
B) Autism spectrum disorder
C) Post-traumatic stress disorder
D) Substance use disorder

Question 5

Which single intervention is most appropriate for the nurse practitioner to consider including in the plan of care for a patient who is struggling with opioid and marijuana dependencies?

A) Buprenorphine
B) Motivational interviewing
C) Naltrexone
D) Family psychotherapy

Question 6

Discuss health outcomes associated with alterations in cortisol release secondary to chronic stress and traumatic events.

Question 7

Discuss the relationship between housing instability among women and intimate partner violence.

Question 8

The nurse practitioner (NP) identifies which personal characteristic as a potential manifestation of vicarious traumatization (VT)?

A) Scheduling time off work
B) Seeking peer socialization
C) Empathizing with clients
D) Experiencing somatization

Question 9

Explain the importance of including suicide screening during risk assessment for members of the general, adolescent, and geriatric populations.

Question 10

Describe two key factors that contribute to misdiagnosis of bipolar depression as unipolar depression.

Question 11

What are the most common mental health issues in your clinical setting?

Question 12

Reflect on your own biases related to dealing with patients suffering from substance abuse and/or mental health problems. Identify two methods for helping you to deal with these biases.

Question 13

Practice interviewing psychosocial histories with other students. Identify areas that cause you discomfort and develop a more comfortable approach to this portion of history-taking.

Question 14

Locate local agencies to refer patients
a. Who are in psychiatric crisis
b. Who need social support for family problems
c. Who need hotline numbers for relieving stress due to flashbacks from childhood sexual abuse
d. Who ask about Alcoholics Anonymous or Narcotics Anonymous