Deck 12: Prevention and Mental Health Promotion

Question 1

When a community mental health nurse focuses on intervention strategies designed to increase self-efficacy among members of a minority neighborhood group,a realistic primary prevention goal would be:

A) elimination of mental illness in the community.
B) resolving social problems within the community.
C) reducing both stressors and suffering in the group.
D) reducing the incidence of depression in the group.

Answer 1

reducing the incidence of depression in the group.

Question 2

A psychiatric nurse is working with patients in a health education group on strategies to improve anger management.The nurse would best evaluate the effectiveness of this intervention by determining changes in a patient's:

A) routinely used coping skills.
B) opinion about own self-worth.
C) knowledge of people and events that trigger anger.
D) underlying mental health disorder, exhibited by the symptom of anger.

Answer 2

routinely used coping skills.

Question 3

A nurse focuses on increasing gang members' problem-solving and coping skills.This is an example of:

A) crime reduction.
B) community service.
C) competency building.
D) environmental manipulation.

Answer 3

competency building.

Question 4

A psychiatric nurse is responsible for providing patient-focused health education.In order to promote primary prevention of mental health problems,the nurse stresses:

A) trust.
B) resilience.
C) networking.
D) motivation.

Question 5

Primary prevention in mental health is based on the assumption that many maladaptive responses result from: (Select all that apply.)

A) a lack of ability to manage one's own life.
B) ineffective coping strategies.
C) ineffective health education.
D) environmental change.
E) poor self-esteem.

Question 6

The nurse explains that the main goal of primary prevention is the reduction of the _____ of mental disorders.

A) severity
B) duration
C) incidence
D) prevalence

Question 7

People with low self-efficacy:

A) are often found to engage in antisocial and/or criminal behavior.
B) usually require an inordinately large percentage of the available community health resources.
C) are usually well motivated and handle stress well and typically have low vulnerability to depression.
D) give up in the face of difficulty, recover slowly from setbacks, and easily fall victim to depression.

Question 8

The identification of intervention strategies designed to increase self-efficacy among members of a minority neighborhood group would occur in which phase of the nursing process?

A) Assessment
B) Analysis
C) Planning
D) Implementation
E) Evaluation

Question 9

Which person is most vulnerable to the development of psychiatric illness based on sociocultural factors?

A) A 16-year-old who has a parent with bipolar disorder
B) A 55-year-old who has retired with full pay from a job as a high school teacher
C) A 24-year-old who was raised by a grandparent after both parents died in a plane crash
D) A 67-year-old from a minority group who is poor and has no social support system

Question 10

A nurse who works in community mental health identifies a minority neighborhood group as having low self-efficacy and being particularly susceptible to a number of stressors.In which phase of the nursing process did this activity take place?

A) Assessment
B) Analysis
C) Planning
D) Implementation
E) Evaluation

Question 11

To effectively use the nursing primary prevention model,it is most important for a nurse to have knowledge of:

A) personality types.
B) psychiatric medications.
C) normal growth and development.
D) the DSM-IV-TR diagnostic categories.

Question 12

In the event that a vaccine is developed to prevent schizophrenia,which population group would be selected to receive it first?

A) The universal population
B) The indicated population
C) The developmental population
D) The epidemiological population

Question 13

A nurse working with mentally ill patients recognizes which factor as having the greatest impact on a patient's tendency to seek treatment?

A) Social stigma
B) Financial burden
C) Lack of support services
D) Ineffective family support

Question 14

What is the essential difference between the nursing prevention model and the medical prevention model?

A) The medical model targets universal populations; the nursing model targets a selective population.
B) The medical model assumes that all people are at equal risk; the nursing model attempts to identify those who are more vulnerable.
C) The medical model attempts to identify the most likely cause of the disease; the nursing model stresses that mental disorders are multicausal.
D) The medical model offers a continuum of nonspecific preventive measures; the nursing model offers one specific, tested, preventive measure.

Question 15

A nurse working in a community health agency wishes to implement a primary preventive program in mental health for the elderly.Which action should occur first?

A) Elaboration of specific preventive strategies
B) Identification of stressors that precipitate maladaptive responses
C) Application of selected nursing interventions to enhance adaptation
D) Determination of the effectiveness of the existing nursing activities

Question 16

A nurse assessing a person who is deemed to be at high risk for mental disorders will find that,as suggested by the nursing primary prevention model,the person has:

A) fewer stressors.
B) more protective factors.
C) unusual developmental tasks.
D) inadequate coping mechanisms.

Question 17

A nurse working with adolescents recognizes which factor as being of greatest importance to this age group?

A) Normal growth and development
B) Peer relationships
C) Career selection
D) Child rearing

Question 18

A nurse whose primary focus is tertiary prevention of mental disorders would focus on:

A) providing prompt treatment of an individual's mental disorder.
B) identifying social supports to prevent the need for hospitalization.
C) funding rehabilitative activities to reduce the disability associated with mental disorders.
D) forming a preretirement counseling program staffed by professional mental health nurses.

Question 19

A psychiatric nurse is assessing the need for mental health services at the clinic.When estimating the number of patients with bipolar disorder in the community,the nurse places highest priority on which data-gathering technique?

A) Community forums that solicit data shared by patients and families
B) Epidemiological studies that indicate incidence and prevalence of disease
C) Use of key informants, such as local social service personnel, nurses, and physicians
D) Statistics from local public reports about race, marital status, population density, and substance abuse

Question 20

An individual considering a self-help group says to a nurse,"I might go to the bereavement group meeting,but what if I'm required to make changes I don't like?" The nurse's most therapeutic response would be:

A) "Perhaps you're not quite ready to join a group. Give yourself a few more weeks."
B) "These are natural concerns. Trying something new activates all our insecurities."
C) "Most group members will feel just like you do. They will help you hold your own against aggressive group members."
D) "Self-help groups are designed so that each member has sole responsibility for making changes in his or her own life."

Question 21

Which interventions would be helpful in achieving the goal of improving the social support system of an individual at risk for developing maladaptive coping responses? (Select all that apply.)

A) Hospitalization in a mental health facility
B) Encouraging participation in a self-help group
C) Explaining to concerned others how they can help
D) Providing services in a caring and supportive manner
E) Identifying consequences for ineffective coping strategies