Deck 26: Community Mental Health Nursing

Question 1

In which way does partial hospitalization differ from traditional inpatient hospitalization?

A) Partial hospitalization does not provide medication administration and monitoring.
B) Partial hospitalization does not use an interdisciplinary team.
C) Partial hospitalization does not offer a comprehensive treatment plan.
D) Partial hospitalization does not provide supervision 24 hours a day.

Answer 1

Partial hospitalization does not provide supervision 24 hours a day.

Question 2

When intervening with a married couple experiencing relationship discord, which nursing action reflects an intervention at the secondary level of prevention?

A) Teaching assertiveness skills in order to meet assessed needs
B) Supplying the couple with guidelines related to marital seminar leadership
C) Teaching the couple about various methods of birth control
D) Counseling the couple related to open and honest communication skills

Answer 2

Counseling the couple related to open and honest communication skills

Question 3

The ____________________ movement closed state mental hospitals and caused the discharge of individuals with mental illness.

Answer 3

deinstitutionalization

Question 4

A client diagnosed with schizophrenia is hospitalized for an exacerbation of psychosis related to nonadherence to antipsychotic medications. Which level of care does the client's hospitalization reflect?

A) Primary prevention level of care
B) Secondary prevention level of care
C) Tertiary prevention level of care
D) Case management level of care

Question 5

Which have been assessed as the most common types of mental illness identified among homeless individuals? (Select all that apply.)

A) Schizophrenia
B) Body dysmorphic disorder
C) Antisocial personality disorder
D) Neurocognitive disorder
E) Conversion disorder

Question 6

A school nurse provides education on drug abuse to a high school class. This nursing action is an example of which level of preventive care?

A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Primary intervention

Question 7

Order the goals of the levels of prevention as they progress through the public health model set forth by Gerald Caplan. (Enter the number of each step in the proper sequence, using comma and space format, such as: 1, 2, 3,

A) Interventions aimed at minimizing early symptoms of psychiatric illness and directed toward reducing the prevalence and duration of the illness
B) Services aimed at reducing the residual defects that are associated with severe and persistent mental illness
C) Services aimed at reducing the incidence of mental disorders within the population

Question 8

Which of the following are characteristics of the Assertive Community Treatment (ACT), as described by the National Alliance on Mental Illness (NAMI)? (Select all that apply.)

A) ACT offers nationally based treatment to people with serious and persistent mental illnesses.
B) ACT is a type of case-management program.
C) ACT provides services 24 hours a day, 7 days a week, 365 days a year.
D) ACT provides highly individualized services directly to consumers.
E) ACT is a multidisciplinary team approach.

Question 9

When attempting to provide health-care services to the homeless, which would be a realistic concern for a nurse?

A) Most individuals that are homeless reject help.
B) Most individuals that are homeless are suspicious of anyone who offers help.
C) Most individuals that are homeless are proud and will often refuse charity.
D) Most individuals that are homeless relocate frequently.

Question 10

When a home health nurse administers an outpatient client's injection of haloperidol (Haldol), which level of care is the nurse providing?

A) Primary prevention level of care
B) Secondary prevention level of care
C) Tertiary prevention level of care
D) Case management level of care

Question 11

Which was a deterring factor to the proper implementation of the Community Health Centers Act of 1963?

A) Many prospective clients did not meet criteria for mental illness diagnostic-related groups.
B) Zoning laws discouraged the development of community mental health centers.
C) States could not match federal funds to establish community mental health centers.
D) There was not a sufficient employment pool to staff community mental health centers.

Question 12

Which nursing action is an example of tertiary prevention?

A) Teaching an adolescent about pregnancy prevention
B) Teaching a client the reportable side effects of a newly prescribed neuroleptic medication
C) Teaching a client to cook meals, make a grocery list, and establish a budget
D) Teaching a client about his or her new diagnosis of bipolar disorder

Question 13

A client at the mental health clinic tells the case manager, "I can't think about living another day, but don't tell anyone about the way I feel. I know you are obligated to protect my confidentiality." Which case manager response is most appropriate?

A) "The treatment team is composed of many specialists who are working to improve your ability to function. Sharing this information with the team is critical to your care."
B) "Let's discuss steps that will resolve negative lifestyle choices that may have increased your suicidal risk."
C) "You seem to be preoccupied with self. You should concentrate on hope for the future."
D) "This information is secure with me because of client confidentiality."

Question 14

Which would the nurse include in teaching about symptoms of alcohol overdose? (Select all that apply.)

A) Vomiting
B) Warm skin
C) Shallow respirations
D) Slow pulse
E) Coma

Question 15

Which clients would a nurse recommend for a structured day program? (Select all that apply.)

A) An acutely suicidal teenager
B) A chronically mentally ill woman who has a history of medication nonadherence
C) A socially isolated older individual
D) A depressed individual who is able to contract for safety
E) A client who is hearing voices that tell the client to harm others

Question 16

A homeless client comes to an emergency department reporting cough, night sweats, weight loss, and blood-tinged sputum. Which disease would a nurse suspect?

A) Meningitis
B) Tuberculosis
C) Encephalopathy
D) Mononucleosis

Question 17

Which student statement indicates that learning has occurred regarding case management?

A) "Case management is a method used to achieve independent client care."
B) "Case management provides coordination of services required to meet client needs."
C) "Case management exists mainly to facilitate client admission to needed inpatient services."
D) "Case management is a method to facilitate health-care provider reimbursement."