Question 1

A nurse is working with persons with serious mental illness. What does the nurse understand about this population?

Accepted Answer

A)  Persons with severe mental illness require institutionalization until they are functional. 
B)  Inadequate community resources have caused problems with homelessness among this population. 
C)  Serious mental illness originates from childhood events and therapy is ineffective. 
D)  Motivation influences a person's ability to earn a living and purchase necessary medications. 
A)  Persons with severe mental illness require institutionalization until they are functional. 
B)  Inadequate community resources have caused problems with homelessness among this population. 
C)  Serious mental illness originates from childhood events and therapy is ineffective. 
D)  Motivation influences a person's ability to earn a living and purchase necessary medications. B

Question 2

According to the National Institute for Mental Health (NIMH), which is the leading cause of disability among adults?

Accepted Answer

A)  Schizophrenia 
B)  Major depression 
C)  Obsessive-compulsive disorder 
D)  Anxiety 
A)  Schizophrenia 
B)  Major depression 
C)  Obsessive-compulsive disorder 
D)  Anxiety B

Question 3

A nurse implements a tertiary prevention intervention related to mental health care. Which of the following interventions has most likely been implemented?

Accepted Answer

A)  Screening for anxiety 
B)  Depression education 
C)  Counseling following a natural disaster 
D)  Coordination transition from the hospital to the community 
A)  Screening for anxiety 
B)  Depression education 
C)  Counseling following a natural disaster 
D)  Coordination transition from the hospital to the community D

Question 4

A nurse has specialized knowledge and skills in mental health illness and problems to provide effective nursing care for this population. Which of the following best describes the need for this knowledge and skills?

Accepted Answer

A)  Services for people with mental disorders are inadequate. 
B)  The effects of mental health are universal. 
C)  Mental health disorders affect small sectors of the population. 
D)  Current health objectives can be met without the influence of nursing. 
A)  Services for people with mental disorders are inadequate. 
B)  The effects of mental health are universal. 
C)  Mental health disorders affect small sectors of the population. 
D)  Current health objectives can be met without the influence of nursing.

Question 5

A nurse is implementing relapse management. Which of the following interventions would most likely be used by the nurse?

Accepted Answer

A)  Use a holistic view of the system. 
B)  Identify triggers. 
C)  Understand the individual's personality. 
D)  Provide crisis intervention. 
A)  Use a holistic view of the system. 
B)  Identify triggers. 
C)  Understand the individual's personality. 
D)  Provide crisis intervention.

Question 6

A nurse is working with older adults and their caregivers. Which of the following would be the most appropriate intervention for the nurse to implement?

Accepted Answer

A)  Work with legislators to advocate for policies that support families. 
B)  Refer clients and families to community support groups to reduce stress. 
C)  Involve clients and families in case management programs to coordinate care. 
D)  Conduct depression screenings with clients and families on a regular basis. 
A)  Work with legislators to advocate for policies that support families. 
B)  Refer clients and families to community support groups to reduce stress. 
C)  Involve clients and families in case management programs to coordinate care. 
D)  Conduct depression screenings with clients and families on a regular basis.

Question 7

A nurse is using Healthy People 2020 as a guide to develop community programming for mental health. Which of the following objectives for mental health would be found in this document? (Select all that apply.)

Accepted Answer

A)  Reduce suicide rates. 
B)  Increase employment of persons with severe mental illness. 
C)  Increase the proportion of children treated for mental health problems. 
D)  Decrease the number of juvenile facilities that screen new admissions for mental health problems. 
E)  Reduce rates of violent acts against women. 
A)  Reduce suicide rates. 
B)  Increase employment of persons with severe mental illness. 
C)  Increase the proportion of children treated for mental health problems. 
D)  Decrease the number of juvenile facilities that screen new admissions for mental health problems. 
E)  Reduce rates of violent acts against women.

Question 8

An undergraduate-level prepared nurse is working with a mental health population. Which of the following roles would be most appropriate for the nurse?

Accepted Answer

A)  Prescribe medications and have hospital admission privileges. 
B)  Work as a case manager for large groups of persons with mental illness. 
C)  Assess clients in acute psychiatric hospital settings. 
D)  Provide basic primary, secondary, and tertiary services. 
A)  Prescribe medications and have hospital admission privileges. 
B)  Work as a case manager for large groups of persons with mental illness. 
C)  Assess clients in acute psychiatric hospital settings. 
D)  Provide basic primary, secondary, and tertiary services.

Question 9

A nurse worked in a psychiatric institution during the hospital expansion era. Which of the following best describes the location where the nurse most likely worked?

Accepted Answer

A)  Near small communities with access to families and activities 
B)  In rural areas removed from family and social activities 
C)  Near urban areas with access to families and low-paying jobs 
D)  In urban areas without access to families and jobs 
A)  Near small communities with access to families and activities 
B)  In rural areas removed from family and social activities 
C)  Near urban areas with access to families and low-paying jobs 
D)  In urban areas without access to families and jobs

Question 10

A nurse is employed by the National Institute for Mental Health (NIMH). Which of the following best describes an activity the nurse would be involved in?

Accepted Answer

A)  Expansion of psychiatric units in general hospitals 
B)  Development of education programs for community mental health treatment 
C)  Legislation and advocacy for the rights of people with mental disorders 
D)  Deinstitutionalization of patients 
A)  Expansion of psychiatric units in general hospitals 
B)  Development of education programs for community mental health treatment 
C)  Legislation and advocacy for the rights of people with mental disorders 
D)  Deinstitutionalization of patients

Question 11

A nurse is providing care to an African American population in the community. Which of the following would be the most appropriate intervention for the nurse to implement?

Accepted Answer

A)  Build on the cultural traditions of the community. 
B)  Develop a support system in a nearby community. 
C)  Integrate mental health services into primary care settings. 
D)  Focus on migrant health issues. 
A)  Build on the cultural traditions of the community. 
B)  Develop a support system in a nearby community. 
C)  Integrate mental health services into primary care settings. 
D)  Focus on migrant health issues.

Question 12

A nurse is working with a client who is concerned about discrimination in the workplace based on a current mental health diagnosis. Which legislation has prohibited discrimination for persons with mental disorders?

Accepted Answer

A)  National Mental Health Act 
B)  American with Disabilities Act (AD
A)  
C)  Developmental Disabilities Act 
D)  Protection and Advocacy for Mentally Ill Individuals Act 
A)  National Mental Health Act 
B)  American with Disabilities Act (AD
A)  
C)  Developmental Disabilities Act 
D)  Protection and Advocacy for Mentally Ill Individuals Act

Question 13

A client who has been diagnosed with major depression works with other mental health consumers to advocate for establishment of additional self-help services for individuals and families with mental illness in a community. Which of the following best describes the organization that the client is likely involved with?

Accepted Answer

A)  Community Support Program (CSP) 
B)  National Institute for Mental Health (NIMH) 
C)  Mental Health Study 
D)  National Alliance for the Mentally Ill (NAMI) 
A)  Community Support Program (CSP) 
B)  National Institute for Mental Health (NIMH) 
C)  Mental Health Study 
D)  National Alliance for the Mentally Ill (NAMI)

Question 14

What factor caused many clients with mental disorders to be institutionalized?

Accepted Answer

A)  There was a continued fear of people with mental disorders. 
B)  The success rate was higher with hospital treatment. 
C)  It was easier to stabilize clients with psychotropic medications. 
D)  It provided a less stressful environment for clients to recuperate. 
A)  There was a continued fear of people with mental disorders. 
B)  The success rate was higher with hospital treatment. 
C)  It was easier to stabilize clients with psychotropic medications. 
D)  It provided a less stressful environment for clients to recuperate.

Question 15

The nurse is working in the role of educator with groups of clients. Which of the following interventions would the nurse likely perform?

Accepted Answer

A)  Care for clients in acute care settings. 
B)  Coordinate activities with staff members in community settings. 
C)  Use learning principles to increase understanding about mental illness. 
D)  Act as an advocate for mental health support groups. 
A)  Care for clients in acute care settings. 
B)  Coordinate activities with staff members in community settings. 
C)  Use learning principles to increase understanding about mental illness. 
D)  Act as an advocate for mental health support groups.

Question 16

A nurse categorizes mental illness as a biopsychosocial disorder. What is meant by this classification?

Accepted Answer

A)  Mental illness is an abnormal brain vasculature that can be detected with angiography. 
B)  Antipsychotic drugs can be used for all types of mental illness. 
C)  Experience and psychosocial factors affect the etiology and treatment of mental illness. 
D)  Mental illness can be cured with the right drugs and therapy. 
A)  Mental illness is an abnormal brain vasculature that can be detected with angiography. 
B)  Antipsychotic drugs can be used for all types of mental illness. 
C)  Experience and psychosocial factors affect the etiology and treatment of mental illness. 
D)  Mental illness can be cured with the right drugs and therapy.

Question 17

An individual viewed physical and mental illness as interrelated, resulting from physical conditions. Which of the following best describes the era in which this individual lived?

Accepted Answer

A)  Ancient times 
B)  Middle Ages 
C)  Colonial 
D)  Greco-Roman 
A)  Ancient times 
B)  Middle Ages 
C)  Colonial 
D)  Greco-Roman

Question 18

A nurse is counseling a client following an unexpected loss. If given adequate support and adaptation, which of the following best describes what will happen with the client?

Accepted Answer

A)  Recover from the crisis and become mentally ill. 
B)  Avoid the loss and potential mental illness. 
C)  Be able to ignore the grief. 
D)  Resume previous lifestyle despite sadness. 
A)  Recover from the crisis and become mentally ill. 
B)  Avoid the loss and potential mental illness. 
C)  Be able to ignore the grief. 
D)  Resume previous lifestyle despite sadness.

Question 19

Who led reform efforts to correct types of inhumane practices in the care of criminals, those with mental disorders, and victims of the Civil War?

Accepted Answer

A)  Dorothea Dix 
B)  Philippe Pinel 
C)  Benjamin Rush 
D)  Clifford Beers 
A)  Dorothea Dix 
B)  Philippe Pinel 
C)  Benjamin Rush 
D)  Clifford Beers

Question 20

Which factor has influenced the advancement in the treatment of mental illness?

Accepted Answer

A)  The movement of clients out of mental institutions to the community 
B)  A better understanding of the neurobiology of mental illness 
C)  More interest in helping persons with mental illness 
D)  A change in the culture about what constitutes mental illness 
A)  The movement of clients out of mental institutions to the community 
B)  A better understanding of the neurobiology of mental illness 
C)  More interest in helping persons with mental illness 
D)  A change in the culture about what constitutes mental illness

Exam 36: Mental Health Issues

A nurse is working with persons with serious mental illness. What does the nurse understand about this population?

According to the National Institute for Mental Health (NIMH), which is the leading cause of disability among adults?

A nurse implements a tertiary prevention intervention related to mental health care. Which of the following interventions has most likely been implemented?

A nurse has specialized knowledge and skills in mental health illness and problems to provide effective nursing care for this population. Which of the following best describes the need for this knowledge and skills?

A nurse is implementing relapse management. Which of the following interventions would most likely be used by the nurse?

A nurse is working with older adults and their caregivers. Which of the following would be the most appropriate intervention for the nurse to implement?

A nurse is using Healthy People 2020 as a guide to develop community programming for mental health. Which of the following objectives for mental health would be found in this document? (Select all that apply.)

An undergraduate-level prepared nurse is working with a mental health population. Which of the following roles would be most appropriate for the nurse?

A nurse worked in a psychiatric institution during the hospital expansion era. Which of the following best describes the location where the nurse most likely worked?

A nurse is employed by the National Institute for Mental Health (NIMH). Which of the following best describes an activity the nurse would be involved in?

A nurse is providing care to an African American population in the community. Which of the following would be the most appropriate intervention for the nurse to implement?

A nurse is working with a client who is concerned about discrimination in the workplace based on a current mental health diagnosis. Which legislation has prohibited discrimination for persons with mental disorders?

What factor caused many clients with mental disorders to be institutionalized?

The nurse is working in the role of educator with groups of clients. Which of the following interventions would the nurse likely perform?

A nurse categorizes mental illness as a biopsychosocial disorder. What is meant by this classification?

An individual viewed physical and mental illness as interrelated, resulting from physical conditions. Which of the following best describes the era in which this individual lived?

A nurse is counseling a client following an unexpected loss. If given adequate support and adaptation, which of the following best describes what will happen with the client?

Who led reform efforts to correct types of inhumane practices in the care of criminals, those with mental disorders, and victims of the Civil War?

Which factor has influenced the advancement in the treatment of mental illness?

Public Health Foundations and Population Health

History of Public Health and Public and Community Health Nursing

Public Health, Primary Care, and Primary Health

Perspectives in Global Health Care

Economics of Health Care Delivery

Environmental Health

Application of Ethics in the Community

Achieving Cultural Competence in Community Health Nursing

Public Health Policy

Evidence-Based Practice

Population-Based Public Health Nursing Practice: the Intervention Wheel

Genomics in Public Health Nursing

Epidemiology

Infectious Disease Prevention and Control

Communicable and Infectious Disease Risks

Promoting Healthy Communities

Community As Client: Assessment and Analysis

Building a Culture of Health to Influence Health Equity Within Communities

Health Education Principles Applied in Communities, Groups, Families, and Individuals for Healthy Change

The Nurse Managed Health Center: a Model for Public Health Nursing Practice

Public Health Nursing Practice and the Disaster Management Cycle

Public Health Surveillance and Outbreak Investigation

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Working With Families in the Community for Healthy Outcomes

Family Health Risks

Child and Adolescent Health

Major Health Issues and Chronic Disease Management of Adults Across the Life Span

Disability Health Care Across the Lifespan

Vulnerability and Vulnerable Populations

Rural Health Issues

Poverty and Homelessness

Migrant Health Issues

Teen Pregnancy

Alcohol, Tobacco and Other Drug Problems

Violence and Human Abuse

The Advanced Practice Nurse in the Community

The Nurse Leader in the Community

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Forensic Nursing in the Community

The Nurse in the Faith Community

Public Health Nursing at Local, State, and National Levels

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