Question 1

A client is experiencing a high level of work-related stress. What should the population health nurse do to help this client? (Select all that apply.)&#10;A) Encourage job control.&#10;B) Promote noise reduction.&#10;C) Refer to job training services.&#10;D) Plan relaxation training programs in the workplace.&#10;E) Implement a stress reduction program at the worksite.&#10;

Accepted Answer

1. To help reduce workplace stress the population health nurse should advocate for or implement worksite stress-reduction programs, advocate for job control and decision latitude in the work setting, promote noise reduction in work settings, and provide relaxation training in workplaces. Referring to job training services helps prevent unemployment.
2. To help reduce workplace stress the population health nurse should advocate for or implement worksite stress-reduction programs, advocate for job control and decision latitude in the work setting, promote noise reduction in work settings, and provide relaxation training in workplaces. Referring to job training services helps prevent unemployment.
4. To help reduce workplace stress the population health nurse should advocate for or implement worksite stress-reduction programs, advocate for job control and decision latitude in the work setting, promote noise reduction in work settings, and provide relaxation training in workplaces. Referring to job training services helps prevent unemployment.
5. To help reduce workplace stress the population health nurse should advocate for or implement worksite stress-reduction programs, advocate for job control and decision latitude in the work setting, promote noise reduction in work settings, and provide relaxation training in workplaces. Referring to job training services helps prevent unemployment.

Question 2

The population health nurse is caring for a client newly diagnosed with schizophrenia. The client asks if his son is at risk for the same health problem. On what should the nurse base a response to this client?

A) The client's son does not have a greater risk of developing schizophrenia.
B) Schizophrenia skips a generation so the client's son will not have a greater risk of developing schizophrenia.
C) The son has a 10% to 15% greater risk for developing schizophrenia.
D) Only the client's daughters have a greater risk for developing schizophrenia.

Accepted Answer

3. Siblings of persons with schizophrenia have a 7% to 8% risk of developing the disease, and the risk increases to 10% to 15% of children whose parents have schizophrenia. Risk of disease also increases with the number of family members affected. The son does have a greater risk of developing schizophrenia. Schizophrenia does not skip a generation so the son does have a greater risk of developing schizophrenia. All children have a greater risk for developing schizophrenia.

Question 3

A student is teaching a class on the impact of mental health on the community. The student should include which of the following information in the presentation?&#10;A) An estimated 25% of the population of the United States will experience a diagnosable mental illness in any given year.&#10;B) The incidence of depression is expected to decrease within the next ten years.&#10;C) Mental illness is an increasing problem only in the more populated areas of the world.&#10;D) Post-traumatic stress disorder is the most common of the anxiety disorders.&#10;

Accepted Answer

1. In the United States an estimated quarter of adults experience a diagnosable mental illness in any given year. The lifetime risk of major depression in the United States is 16.5%. Mental illness is a growing problem throughout the world. Phobias, not post-traumatic stress disorder, are the most common anxiety disorder.

Question 4

The population health nurse is reviewing a list of medications prescribed for a client with a mental illness. When reviewing this list the nurse should recall that most pharmacologic agents that are used in the treatment of mental disorders act by: (Select all that apply.)

A) Increasing the action of neurotransmitters in the brain.
B) Decreasing the action of neurotransmitters in the brain.
C) Slowing activity in the beta cells.
D) Decreasing metabolic activity.
E) Decreasing protein binding.

Accepted Answer

1. Most pharmacologic agents used in the treatment of mental disorders alter the action of neurotransmitters in the brain by either increasing or decreasing their activity. Most mental disorder pharmacologic agents do not act by slowing activity in the beta cells. Mental disorder pharmacologic agents do not act by decreasing metabolic activity. Mental disorder pharmacologic agents do not affect protein binding.
2. Most pharmacologic agents used in the treatment of mental disorders alter the action of neurotransmitters in the brain by either increasing or decreasing their activity. Most mental disorder pharmacologic agents do not act by slowing activity in the beta cells. Mental disorder pharmacologic agents do not act by decreasing metabolic activity. Mental disorder pharmacologic agents do not affect protein binding.

Question 5

A client is complaining of episodes of intense fear without any identifiable basis. During the episodes the client says he experiences shortness of breath and palpitations. The population health nurse should suspect that this client is experiencing which disorder?

A) Panic disorder.
B) Bipolar disorder.
C) Schizophrenia.
D) Borderline personality disorder.

Accepted Answer

1. Panic disorder is characterized by episodes of intense fear without any identifiable basis. Panic is manifested in cardiac, respiratory, and gastrointestinal symptoms. Bipolar disorder is characterized by unusual shifts in mood, energy, and functional ability. Schizophrenia is characterized by three types of symptoms: positive symptoms (unusual thought or perceptions that are not present in normal people); negative symptoms (absence of normal behaviors and emotional states); and cognitive symptoms that reflect deficits in attention, memory, and executive functions that permit planning and organizing thoughts and behaviors. Borderline personality disorder is characterized by rapidly changing moods and results in difficulty with interpersonal relationships and an inability to function effectively in society.

Question 6

The population health nurse is working with a group of elderly clients who are being treated for major depression. The goals for this groups' care should include: (Select all that apply.)&#10;A) Increase compliance with medications.&#10;B) Improve level of function.&#10;C) Improve quality of life.&#10;D) Reduce suicide risk.&#10;E) Improve appetite.&#10;

Accepted Answer

2. Primary treatment goals for depression include relief of symptoms and return to effective function. Additional goals include preventing personal and societal effects of mental health problems, improving the client's (and family's) quality of life, and preventing suicide. Appetite improvement and compliance with medications are not identified goals for the client with depression.
3. Primary treatment goals for depression include relief of symptoms and return to effective function. Additional goals include preventing personal and societal effects of mental health problems, improving the client's (and family's) quality of life, and preventing suicide. Appetite improvement and compliance with medications are not identified goals for the client with depression.
4. Primary treatment goals for depression include relief of symptoms and return to effective function. Additional goals include preventing personal and societal effects of mental health problems, improving the client's (and family's) quality of life, and preventing suicide. Appetite improvement and compliance with medications are not identified goals for the client with depression.

Question 7

The population health nurse is concerned that a client is at risk for developing a mental health disorder. Which psychological risk factors did the nurse assess to make this clinical determination? (Select all that apply.)

A) Ninth grade education.
B) Short-tempered with staff.
C) Critical of health care workers.
D) Recently lost both parents to death.
E) Employed as a food service worker.

Accepted Answer

1. Mental illness may result in worsening of physical health problems due to inability or lack of motivation for effective self-care. In general, side effects of the mental health medications do not result in worsening of physical health problems. Loss of cognitive function is not a reason that mental illness results in worsening of physical health problems. Feelings of inadequacy are not a reason mental illness results in worsening of physical health problems.

Question 8

The population health nurse is working with a client who has a chronic mental illness. Which goal should be the nurse's priority?&#10;A) Assess for circumstances that may contribute to mental health difficulties.&#10;B) Maintain the client's level of function and prevent frequent hospitalizations.&#10;C) Increase the client's ability to deal with challenges.&#10;D) Assist the client to develop coping skills.&#10;

Accepted Answer

The priority goal of the nurse when working with a client with chronic mental illness is to maintain the client's level of function and prevent frequent hospitalizations. This can be achieved through close monitoring of symptoms, adherence to treatment plan, and ensuring access to appropriate resources for support. While assessing for circumstances that may contribute to mental health difficulties, increasing the client's ability to deal with challenges, and assisting the client to develop coping skills are important goals, they may not necessarily be the priority when managing chronic mental illness.

Question 9

The population health nurse becomes aware of a client being stigmatized after receiving treatment for a mental illness. Which actions should the nurse take to help with this client's health restoration? (Select all that apply.)

A) Monitoring adherence to treatment.
B) Assisting the client with treatment side effects.
C) Discussing ways for the client to deal with the stigma.
D) Contacting local lawmakers to support antidiscrimination laws.
E) Conducting a community program on mental health and illness.

Accepted Answer

3. Strategies to prevent stigma and discrimination include educating the public about mental health and illness, advocating for antidiscrimination laws, and assisting clients and families to deal with stigma and discrimination. Monitoring treatment adherence and effects and assisting clients to deal with treatment side effects are strategies to promote adherence to therapeutic regimens.
4. Strategies to prevent stigma and discrimination include educating the public about mental health and illness, advocating for antidiscrimination laws, and assisting clients and families to deal with stigma and discrimination. Monitoring treatment adherence and effects and assisting clients to deal with treatment side effects are strategies to promote adherence to therapeutic regimens.
5. Strategies to prevent stigma and discrimination include educating the public about mental health and illness, advocating for antidiscrimination laws, and assisting clients and families to deal with stigma and discrimination. Monitoring treatment adherence and effects and assisting clients to deal with treatment side effects are strategies to promote adherence to therapeutic regimens.

Question 10

A client is taking second-generation antipsychotic medications for schizophrenia. The most appropriate teaching topic for this client is:&#10;A) Diet and physical activity.&#10;B) The need for regular blood work.&#10;C) The probability of hair loss.&#10;D) The need to take the medications on an empty stomach.&#10;

Accepted Answer

1. Second generation antipsychotic medications increase the risk of weight gain and metabolic disorder, so people taking these drugs need illness and injury prevention interventions to control weight, such as diet instruction and encouraging physical activity. The most appropriate teaching topic for this client would be diet and physical activity and not the need for blood work. Hair loss is not a probability with second-generation antipsychotic medications. All second-generation antipsychotic medications do not need to be taken on an empty stomach.

Question 11

A client has been diagnosed with bulimia nervosa. The signs and symptoms the population health nurse knows are most characteristic of this disease include:&#10;A) Intense fear of gaining weight.&#10;B) Uncontrollable eating followed by purging.&#10;C) Excessive overeating without compensatory purging.&#10;D) Not eating for days at a time.&#10;

Accepted Answer

The answer of A client has been diagnosed with bulimia...

Question 12

A client with a mental health problem asks the purpose of attending psychotherapy sessions. The population health nurse's response should include that the intent of psychotherapy is to:&#10;A) Control one's behavior.&#10;B) Develop an understanding of one's problems.&#10;C) Promote medication compliance.&#10;D) Promote normal behaviors.&#10;

Accepted Answer

The answer of A client with a mental health problem...

Question 13

The population health nurse is helping a client develop psychological flexibility. What actions should the nurse take to help this client? (Select all that apply.)&#10;A) Mindfulness.&#10;B) Develop coping skills.&#10;C) Support effective parenting.&#10;D) Attend programs outside of the home.&#10;E) Acceptance and commitment therapy.&#10;

Accepted Answer

The answer of The population health nurse is helping a...

Question 14

A client in the postpartum clinic is complaining of tearfulness, mood swings, feelings of guilt, and inability to cope. The population health nurse suspects that the client is suffering from which condition?

A) Substance abuse.
B) Postpartum psychosis.
C) Seasonal affective disorder.
D) Postpartum depression.

Accepted Answer

The answer of A client in the postpartum clinic is...

Question 15

The population health nurse is concerned that a client is at risk for developing a mental health disorder. Which psychological risk factors did the nurse assess to make this clinical determination? (Select all that apply.)

A) Ninth grade education.
B) Short-tempered with staff.
C) Critical of health care workers.
D) Recently lost both parents to death.
E) Employed as a food service worker.

Accepted Answer

The answer of The population health nurse is concerned that...

Deck 28: Mental Health and Mental Illness