Deck 23: Community Mental Health

Question 1

Studies focused on the social determinants of health show that mental illness is better explained by which of the following? Select all that apply.

A) Intergenerational transfer of social inequities
B) Intergenerational transfer of economic inequities
C) Intergenerational transfer of violence
D) Intergenerational transfer of political equities

Answer 1

Intergenerational transfer of social inequities
Intergenerational transfer of economic inequities
Intergenerational transfer of violence

Question 2

What is the standard used to diagnose mental illness in Canada?

A) Diagnostic and Statistical Manual of Mental Disorders
B) Merck Manual
C) Population Health Promotion Model
D) Mosby's Mental Illness Compendium

Answer 2

Diagnostic and Statistical Manual of Mental Disorders

Question 3

Ms. Myong came to Canada two years ago as a political refugee from Korea. She has two children, age 6 and 8. She is at increased risk for what mental health problem?

A) Post-traumatic stress
B) Addiction
C) Depression
D) Anxiety

Answer 3

Post-traumatic stress

Question 4

Which of the following terms is used to refer to a group of diagnosable conditions that include combinations of altered thinking, mood, behavior, or will that can be linked with distress or impaired functioning:

A) Mental illness
B) mental health
C) Mental health
D) Mental pathologization

Question 5

A nurse is working in crisis stabilization unit in a community mental health centre. What service would the nurse most likely be providing?

A) Comprehensive long-term intensive care
B) Risk reduction activities to prevent mental illnesses
C) A 24-hour mobile response team
D) Education services to promote mental health

Question 6

Ms. Chauvette has a mental illness. Her nurse critically considers the available treatments before helping Ms. Chauvtte to choose one. What term can be used to describe the nurse?

A) Consumer
B) Advocate
C) Victim
D) Survivor

Question 7

The Mental Health Commission of Canada facilitates anti-stigma initiatives. Which of the following is an example of an anti-stigma campaign in the workplace? Select all that apply.

A) Mental Health Works
B) Mind Matters
C) Road to Mind Readiness
D) Iris the Dragon

Question 8

Which of the following statements about mental health for Inuit youth is true?

A) Co-morbidities for Inuit youth are 11 times that of the national average
B) Stigma for Inuit youth are 11 times that of the national average
C) Serious and persistent mental health issues for Inuit youth are 11 times that of the national average
D) Suicide for Inuit youth are 11 times that of the national average

Question 9

Serious mental illnesses affect what percentage of the Canadian homeless population?

A) Between 25 and 50%
B) Between 10 and 20%
C) Between 5 and 10%
D) Between 0 and 5%

Question 10

Jacques, 17 years old, has a Compulsory Treatment Order (CTO) for his severe mental illness. What does this mean?

A) Jacques must come to the health unit every day to receive his medications
B) Failure to take his medication will result in hospitalization
C) If Jacques does not take his medication he will be incarcerated
D) A nurse will administer his medications at his home

Question 11

Mr. Bianco, 51 years old, suffers from bipolar disorder and substance use. He has been homeless for 10 years. What types of services should the nurse identify for Mr. Bianco? Select all that apply.

A) Health services
B) Housing services
C) Social services
D) Access to food banks
E) None of the above

Question 12

What term is defined by "the ability of all people to enjoy life and deal with its challenges?"

A) Health promotion
B) Disease prevention
C) Mental illness
D) Mental health

Question 13

Which of the following are classified as mental health service delivery models? Select all that apply.

A) Recovery model
B) Collaborative mental health care model
C) Population health promotion model
D) Peer support model

Question 14

Which of the following is an example of secondary prevention of mental illness?

A) Public education
B) Advocacy for more mental health facilities
C) Better education of professionals
D) Early diagnosis of mental illness

Question 15

Who is at greatest risk for suicide?

A) 18-year-old Asian female
B) 16-year-old Indigenous male
C) 82-year-old Black woman
D) 40-year-old woman

Question 16

What is an outcome of assertive community treatment?

A) Develop and sustain support systems
B) Reduced health care costs
C) Increased hospitalizations
D) High quality of life

Question 17

A nurse is utilizing a recovery model of rehabilitation. What is the nurse doing?

A) Actively collaborating with the consumer and family to develop interventions
B) Realizing the eradication of mental illness through teamwork
C) Providing the best services and supports at the best time, best place, and best level of intensity
D) Delivering a balanced combination of specific services

Question 18

Mr. Charbonneau is a client with a mental illness and also uses cocaine. What is the correct term for this combination?

A) Severe anxiety
B) Co-morbidity
C) Co-dependency
D) Co-occurring

Question 19

In the 1960s, deinstitutionalization caused a shift in mental health care. To which institution did mental health care shift?

A) Provincial mental hospitals
B) In the Community
C) Long-term mental health institutions
D) Federally funded poor houses

Question 20

Which of the following can be classified as Serious and Persistent Mental Illness? Select all that apply.

A) Schizophrenia
B) Bipolar disorder
C) Personality disorder
D) Severe depression
E) None of the above

Question 21

List the social determinants of mental health

Question 22

Discuss the nurse's role in case finding and referral.

Question 23

Which of the following are mental health indicators for post-secondary students? Select all that apply.

A) Feeling anxious
B) Feeling exhausted
C) Feeling overwhelmed
D) Feeling hopeless
E) None of the above

Question 24

Efforts to reduce stigma toward mental illness in Canadian society include which of the following target group?

A) The media
B) Elementary school children
C) Health care consumers
D) Incarcerated people

Question 25

A nurse works in a community mental health centre in a large urban area. Describe three roles of the nurse and provide a related practice example for each role.

Question 26

List and discuss the recovery principles.

Question 27

Johnny, 16 years old, lives with his mother in an Indigenous community in Northern Canada. Johnny suffers from depression as a result of harassment and bullying at school. What factor would contribute to Johnny not accessing care for his depression? Select all that apply.

A) Services may be culturally inappropriate
B) Services may be oppressive
C) Services may be retraumatizing
D) Indigenous services are more accessibly

Question 28

Johnny, 16 years old, lives with his mother in an Indigenous community in Northern Canada. Johnny suffers from depression as a result of harassment and bullying at school. Johnny tells a friend he wants to end it all. What is this termed?

A) Crisis
B) Suicidal ideation
C) Mental illness
D) Depression

Question 29

Astrid is a new nursing graduate and is considering a career in mental health nursing. She investigates how mental health services are organized in Canada. Discuss four types of mental health services and provide an example related to community health nursing practice for each area.

Question 30

Ms. Myong came to Canada two years ago as a political refugee from Korea. She has two children, age 6 and 8. What will be the main factor interfering with Ms. Myong seeking mental health services?

A) Knowing whom to see
B) Difficulty speaking English
C) Access to an Asian support group
D) Fear