Deck 10: Mental Health

Question 1

A nurse considering a career in behavioral health learns that the ____ mandates that group health plans of 50 or more persons, which cover mental health and substance use disorders, must provide benefits equivalent to or better than those benefits provided for medical or surgical benefits.

A)Mental Health Parity Act
B)Community Mental Health Centers Act
C)Affordable Care Act
D)None of the above

Answer 1

Mental Health Parity Act

Question 2

Estimating the prevalence of mental disorders in the U.S. is complicated primarily by what issue?

A)There is no consensus on what constitutes a mental disorder.
B)The Health Insurance Portability and Accountability Act (HIPAA) laws prevent review of medical records
C)There are no health surveys that include data related to mental health
D)There is no centralized method of conducting surveillance of mental health disorder

Answer 2

There is no centralized method of conducting surveillance of mental health disorder

Question 3

Nurses working for the Indian Health Services at a reservation health clinic note a high rate of suicide among adolescents living on the reservation. In order to reduce the odds, which step should the nurses take first?

A)Determine which stakeholders should be involved to design a community-level intervention.
B)Establish priority issues.
C)Complete a draft plan of action.
D)Review available data on suicides for adolescents living on the reservation.

Answer 3

Review available data on suicides for adolescents living on the reservation.

Question 4

The WHO model includes four components. Which one of the following is not one of the components?

A)Policy, planning, and service development
B)Human rights and legislation
C)Access to appropriate mental health services and quality
D)Poverty and development

Question 5

During the past decade, the morbidity and mortality rate of serious mental illnesses (SMIs) has increased, showing that persons diagnosed with an SMI die ____ years earlier than those in the general population.

A)5
B)25
C)20
D)10

Question 6

A PHN is helping develop an outreach treatment program for persons in the community who may have a mental health disorder. She understands that the burden of treatment was shifted to the community through which of the following?

A)Deinstitutionalization
B)The Affordable Care Act
C)Health reform at SAMSHA
D)Title XIX of the Social Security Act

Question 7

Which of the following community-level risk factors play a role in the development of mental disorders?

A)Living in high crime areas
B)Poverty
C)Both A and B
D)Family instability

Question 8

____ addresses specific subgroups at highest risk for development of a mental disorder or those that are showing early signs of a mental disorder.

A)Indicated prevention
B)Selective prevention
C)Universal prevention
D)Both A and B

Question 9

About 6.7% of the U.S. population is affected by ____ each year. It is the leading cause of disability for people ages 15 to 44 and is more prevalent in women than men.

A)Postpartum depression (PPD)
B)Schizophrenia
C)Major depressive disorder (MDD)
D)Posttraumatic stress disorder (PTSD)

Question 10

____ is a combination of personal attributes and societal stereotypes related to human characteristics viewed as unacceptable.

A)Indicated prevention
B)Stigma
C)Risk factors
D)Transinstitutionalization

Question 11

A nurse interested in working with persons with mental disorders who live in poverty understands that the most effective treatment involves multiple sectors of society, such as government agencies, grass roots groups, nonprofits, and businesses, working in tandem. This interrelationship is called:

A)Indicated prevention.
B)Intersectoral strategies.
C)Health-Related Quality of Life.
D)Institute of Medicine Model of Prevention.

Question 12

A PHN student learns that there are individual-level risk factors for mental disorders. Which of the following are individual-level risk factors that may contribute to the development of mental disorders?

A)Conditions that affect brain chemistry, such as medication side effects or toxins
B)Physical trauma
C)Both A and B
D)Unstable family life

Question 13

During a course on mental disorders, the student nurse learns that the mental health of a community depends on:

A)Strong social networks.
B)Availability of behavioral health services.
C)Safe place to work and live.
D)Both A and C.

Question 14

The nurse wishes to choose a reliable screening tool to help identify patients in her clinic who may have depression. Which of the following tools are used to screen for depression?

A)Patient Health Questionnaire 2
B)Center for Epidemiological Studies Depression Scale (CESD-10)
C)Brief Symptom Checklist-18 of the My Mood Monitor (M-3)
D)Both A and B

Question 15

According to Healthy People 2020, which of the following are characteristics of mental health? Select all that apply.

A)Engaging in productive activities
B)Having fulfilling relationships
C)Experiencing alterations in thinking
D)Adapting to change
E)Coping with challenges

Question 16

While studying the prevalence of mental health disorders worldwide, a public health nurse (PHN) learns about the World Mental Health Survey, which is used to determine estimates of human capital costs and prevalence of mental disorders in a wide range of countries. The survey was developed by the:

A)Centers for Disease Control and Prevention (CDC).
B)World Health Organization (WHO).
C)Institute of Medicine (IOM).
D)World Health Assembly.

Question 17

A recent graduate nurse working in an urban labor and delivery unit had a patient who experienced a difficult labor. The mother, suffering from postpartum depression (PPD), committed suicide a year after giving birth. Although the nurse knew the basics about PPD, the nurse immediately studied the condition in depth and learned that PPD:

A)Can be triggered by a massive hormone drop following delivery.
B)Can intensify to cause delusions.
C)Occurs soon after delivery.
D)All of the above.

Question 18

A student nurse is studying stress and mental health. The student nurse learns that ____ is based on an individual's ability to access protective factors that exist at different levels in order to withstand chronic stress or recover from traumatic life events.

A)Intervention
B)Support
C)Resilience
D)Therapy

Question 19

A nurse working in labor and delivery requested permission from the nurse manager to conduct a quality improvement project with a focus on screening patients that might be at risk for developing PPD. For a comprehensive screening program, which of the following would be included in the program?

A)All patients will be screened for PPD when they are admitted to the labor and delivery unit.
B)Patients with positive screens are referred for further evaluation.
C)Before being discharged, all new mothers will complete a questionnaire specific to PPD symptoms and the nurse will notify appropriate persons (for example, a social workers) for those with positive screens.
D)All of the above