Deck 21: Community Mental Health

Question 1

Primary, secondary, and tertiary levels of prevention help reduce risk, identify and limit disabilities, and reduce complications of mental health problems. Which exemplifies a tertiary prevention strategy for mental health problems?

A) Screen for mental health disorders
B) Refer high-risk people for diagnostic services
C) Provide mental health services following stressful community events
D) Promote support groups for people with mental health disorders

Answer 1

Promote support groups for people with mental health disorders

Question 2

Primary, secondary, and tertiary levels of prevention help reduce risk, identify and limit disabilities, and reduce complications of mental health problems. Which exemplifies a primary prevention strategy for mental health problems?

A) Educate families and community groups about mental health issues, symptoms of stress, and barriers to seeking help
B) Screen for mental health disorders
C) Promote support groups for people with mental health disorders
D) Initiate health promotion activities as a part of rehabilitation services

Answer 2

Educate families and community groups about mental health issues, symptoms of stress, and barriers to seeking help

Question 3

The nurse assesses a client who recently immigrated to the United States from Haiti. The client reports upset stomach and diarrhea. He explains that a witch doctor put a curse on him and that he sometimes sees evil spirits around him. Which is the most accurate way for the nurse to appraise this situation?

A) Mental illness
B) Gastrointestinal disorder
C) Culture-bound syndrome
D) Hypochondria

Answer 3

Culture-bound syndrome

Question 4

The public health nurse interacts with members of the community on a daily basis. Which mental illness can the nurse point out is most likely to go untreated?

A) Anxiety
B) Bipolar disorder
C) Depression
D) Alcoholism

Question 5

The nurse is responsible for conducting assessments on the clients who come to the clinic for assessment. Which individual would the nurse most suspect to have an untreated psychiatric disorder?

A) 50-year-old white man
B) 35-year-old woman of Asian descent
C) 12-year-old girl of Mexican descent
D) 18-year-old black man

Question 6

The nurse examines a client who is taking haloperidol for schizophrenia and notices that she habitually twists her tongue and arms. Which side effect should the nurse document in this client's record?

A) Tardive dyskinesia
B) Akathisia
C) Dystonia
D) Neuroleptic malignant syndrome

Question 7

The nurse works with a client who has just been diagnosed with schizophrenia. While discussing the various medication options for this disorder, the nurse explains that some have been associated with the development of type 2 diabetes. The client explains that she is already at risk for developing diabetes and would like to avoid any medications that might promote the disease. On the basis of this information, which medication should this client most avoid?

A) Haloperidol
B) Olanzapine
C) Fluphenazine
D) Ziprasidone

Question 8

The nurse teaches about medication to a client who has just been diagnosed with schizophrenia. The psychiatrist has prescribed clozapine to the client. Which primary adverse effect should the nurse point out to the client?

A) Hypoglycemia
B) The metabolic syndrome
C) Weight loss
D) Dystonia

Question 9

In researching the problem of homelessness in the city, the nurse discovers that the number of mentally ill homeless has steadily grown over the past couple of decades. Which reason can the nurse point out is most likely responsible for this situation?

A) Deinstitutionalization
B) An increase in the prevalence of major mental illness
C) Economic downturns
D) Shortages of affordable housing

Question 10

Epidemiologic studies are essential to target programs to populations in greatest need. To help measure progress toward improving mental health, which is a primary focus of epidemiologic studies?

A) Physical costs
B) Emotional costs
C) Mental costs
D) Social costs

Question 11

The nurse is concerned about the sudden increase in the number of suicides and attempted suicides at the local high schools. Which action should the nurse prioritize to intervene in this situation?

A) Advertise the suicide prevention hotline at the school.
B) Develop a family-based intervention program
C) Identify which individuals have already attempted suicide
D) Develop a prevention program for the high school students

Question 12

The nurse assesses a homeless adolescent who recently attempted suicide by drug overdose. Which risk factor should the nurse point out is most likely to influence this situation?

A) Nicotine use
B) Anxiety disorder
C) Social isolation
D) Chronic pain

Question 13

The nurse is speaking with a 14-year-old client who has attempted suicide by cutting his wrists in the past. How would the nurse best implement a means restriction approach to suicide prevention in this case?

A) Teach the client to block out all thoughts of self-harm as soon as they arise
B) Encourage the client to seek out counseling
C) Suggest to the client's parents that they lock up all sharp knives in the house
D) Recommend to the client's parents that the client be under constant surveillance

Question 14

The nurse assesses a 7-year-old girl who has had problems at school lately with her behavior and mood. On the basis of the description provided by the child's mother, the nurse suspects either attention-deficit/hyperactivity disorder (ADHD) or bipolar disorder may be involved. Which behaviors---when occurring in all spheres of the child's life---would most strongly suggest ADHD rather than bipolar disorder in this client?

A) Hyperactivity and impulsivity
B) Mood and anxiety symptoms
C) Irritability and impulsivity
D) Anxiety and hyperactivity

Question 15

The nurse assesses a 12-year-old boy who has been diagnosed with bipolar disorder. Which behaviors should the nurse most expect to observe in this child? (Select all that apply.)

A) Irritability
B) Distractibility
C) Screaming
D) Rage episodes
E) Sleep disturbances

Question 16

The school nurse is concerned for a third-grade boy whose teacher has sent him to the health office on several occasions. The teacher reports the child becomes agitated and angry, and then refuses to follow instruction and sometimes even becomes irritable. Which disorder should the nurse most suspect this child is exhibiting?

A) Bipolar disorder
B) Attention deficient/hyperactivity disorder
C) Schizophrenia
D) Major depression

Question 17

The school nurse follows up with a third grader who was recently diagnosed with attention-deficit/hyperactivity disorder (ADHD) to make sure that he takes his prescribed medication. What type of medication would the nurse most predict this client is taking?

A) First-generation antipsychotic
B) Second-generation antipsychotic
C) Mood stabilizer
D) Stimulant

Question 18

The mother of a child with autism is concerned to discover she is pregnant and fears this child will also have autism. The nurse points out risk factor that can increase the risk of the fetus developing into a child with autism. Which substances should the nurse caution the mother against ingesting? (Select all that apply.)

A) Thalidomide
B) Valproic acid
C) Lorazepam
D) Cannabis
E) Misoprostol

Question 19

A woman mentions that her 6-month-old son has demonstrated some odd behavior. She thinks it might be related to autism. Which is the best response by the nurse when questioned about the most appropriate time to screen her son?

A) Now, as an infant
B) When the child begins to walk
C) When the child is preschool aged
D) When the child starts school

Question 20

The nurse performs an assessment of a client with schizophrenia. Which comorbid health conditions should the nurse most expect to find in this client? (Select all that apply.)

A) Osteoarthritis
B) Obesity
C) Hypertension
D) Breast cancer
E) Cardiac complications

Question 21

The nurse is designing a care plan for a client who was just diagnosed with hoarding disorder. The nurse determines the client is hoarding various magazines and books, which are stacked in boxes throughout the house. Who might the nurse include in the care plan? (Select all that apply.)

A) Concerned family members
B) Local fire department
C) City building inspectors
D) Surrounding neighbors
E) An individual requested by the client