Question 1

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

Accepted Answer

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

Question 2

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?

Accepted Answer

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." 
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." A

Question 3

Which nursing action is an example of tertiary prevention?

Accepted Answer

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 
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 C

Question 4

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

Accepted Answer

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

Question 5

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

Accepted Answer

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Question 6

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

Accepted Answer

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. 
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 7

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

Accepted Answer

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

Question 8

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

Accepted Answer

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." 
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."

Question 9

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

Accepted Answer

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. 
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.

Question 10

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.)

Accepted Answer

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. 
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 11

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?

Accepted Answer

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

Question 12

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

Accepted Answer

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 
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

Question 13

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?

Accepted Answer

A)  Primary prevention level of care 
B)  Secondary prevention level of care 
C)  Tertiary prevention level of care 
D)  Case management level of care 
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 14

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,

Accepted Answer

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 
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 15

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

Accepted Answer

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. 
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 16

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

Accepted Answer

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 
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 17

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

Accepted Answer

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

Exam 26: Community Mental Health Nursing

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

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?

Which nursing action is an example of tertiary prevention?

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

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

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

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

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

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

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

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

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?

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,

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

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

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

Mental Health and Mental Illness

Biological Implications

Ethical and Legal Issues

Psychopharmacology

Relationship Development and Therapeutic Communication

The Nursing Process in Psychiatricmental Health Nursing

Milieu Therapythe Therapeutic Community

Interventions in Groups

Crisis Intervention

The Recovery Model

Suicide Prevention

Caring for Clients With Mental Illness and Substance Use Disorders in General Practice Settings

Neurocognitive Disorders

Substance Use and Addictive Disorders

Schizophrenia Spectrum and Other Psychotic Disorders

Depressive Disorders

Anxiety, Obsessive-Compulsive, and Related Disorders

Bipolar and Related Disorders

Trauma- and Stressor-Related Disorders

Somatic Symptom and Dissociative Disorders

Eating Disorders

Personality Disorders

Children and Adolescents

The Aging Individual

Survivors of Abuse or Neglect

The Bereaved Individual

Military Families

Concepts of Personality Development

Complementary and Psychosocial Therapies

Cultural and Spiritual Concepts Relevant to Psychiatric-Mental Health Nursing

Issues Related to Human Sexuality and Gender Dysphoria

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