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Test Bank for Public Health Science and Nursing Practice Caring For Populations by Savage

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By: Savage

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Test Bank for Public Health Science and Nursing Practice Caring For Populations by Savage

Chapter 10: Mental Health

MULTIPLE RESPONSE

1.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

ANS: A, B, D, E

Objective: 3. Define the difference between behavioral, biological, environmental, and socioeconomic risk factors related to mental health disorders.

pp. 225-226

Heading: Introduction

Integrated Processes: N/A

Client Need: Psychosocial Integrity

Cognitive Level: Knowledge [Remembering]

Concept: Promoting Health

Difficulty: Moderate

Feedback
1.Mental health is a state of successful performance of mental function, including engagement in productive activities.
2.Mental health is a state of successful performance of mental function, including being able to form fulfilling relationships with other people.
3.This is incorrect; it is an example of a mental disorder. Mental disorders are health conditions that are characterized by alterations in thinking, mood, or behavior that are associated with distress or impaired functioning.
4.Mental health is a state of successful performance of mental function, including the ability to adapt to change.
5.Mental health is a state of successful performance of mental function, including the ability to cope with challenges.

PTS:1CON:Promoting Health

MULTIPLE CHOICE

2.In 2010, approximately how many people in the United States reported experiencing mental disorders in the previous year?

A.15%
B.50%
C.30%
D.25%

ANS: D

Objective: 1. Define the burden of disease related to mental disorders using current epidemiological frameworks.

pp. 226-227

Heading: Epidemiology of Mental Disorders

Integrated Processes: N/A

Client Need: Psychosocial Integrity

Cognitive Level: Comprehension [Understanding]

Concept: Promoting Health

Difficulty: Moderate

Feedback
AThis is incorrect. In the United States in 2010 an estimated 25% of adults reported having mental disorders in the previous year.
BThis is incorrect. In the United States in 2010 an estimated 25% of adults reported having mental disorders in the previous year.
CThis is incorrect. In the United States in 2010 an estimated 25% of adults reported having mental disorders in the previous year.
DIn the United States in 2010 an estimated 25% of adults reported having mental disorders in the previous year.

PTS:1CON:Promoting Health

3.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

ANS: C

Objective: 3. Define the difference between behavioral, biological, environmental, and socioeconomic risk factors related to mental health disorders.

pp. 229-231

Heading: Protective Factors: Building Resilience

Integrated Processes: Teaching/Learning

Client Need: Psychosocial Integrity

Cognitive Level: Application [Applying]

Concept: Trauma; Stress; Promoting Health; Nursing Roles

Difficulty: Moderate

Feedback
AThis is incorrect. Resilience 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. Preventive and treatment interventions are useful tools to build on an individual’s natural resilience to promote positive outcomes.
BThis is incorrect. Resilience 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. Support from family, friends, and community is an important part of strengthening an individual’s resilience.
CResilience 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.
DThis is incorrect. Resilience 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. Therapy is an important part of an overall treatment plan, in conjunction with intervention, support, and an individual’s capacity for resilience.

PTS: 1 CON: Trauma | Stress | Promoting Health | Nursing Roles

4.____ 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 1 and 2

ANS: A

Objective: 4. Apply current evidence-based population level interventions to the prevention of mental disorders and the promotion of optimal mental health for communities and populations.

pp. 232-233

Heading: Prevention of Mental Disorders and Promotion of Mental Health > Institute of Medicine Model of Prevention

Integrated Processes: Nursing Process

Client Need: Psychosocial Integrity

Cognitive Level: Comprehension [Understanding]

Concept: Promoting Health

Difficulty: Moderate

Feedback
AIndicated prevention addresses specific subgroups at highest risk for development of a mental disorder or those that are showing early signs of a mental disorder. The purpose of indicated techniques is to delay or reduce the severity of a mental disorder.
BSelective prevention includes interventions provided to specific subgroups that are known to be at high risk for mental disorders owing to biological, psychological, social, or environmental factors but that have not yet been diagnosed with mental disorders. High-risk subgroups include but are not limited to those with a family history of mental disorders, history of adverse childhood events, or victims of violence.
CUniversal prevention refers to prevention interventions provided to the entire population, not just those who may be at risk. The interventions include but are not limited to public service announcements provided to the public at large through billboards, media messages (print and electronic), or general health education programs.
DIndicated prevention addresses specific subgroups at highest risk for development of a mental disorder or those that are showing early signs of a mental disorder. The purpose of indicated techniques is to delay or reduce the severity of a mental disorder. Selective prevention includes interventions provided to specific subgroups that are known to be at high risk for mental disorders owing to biological, psychological, social, or environmental factors but that have not yet been diagnosed with mental disorders. High-risk subgroups include but are not limited to those with a family history of mental disorders, history of adverse childhood events, or victims of violence.

PTS:1CON:Promoting Health

5.The public health nurse (PHN) recognizes that which of the following are used as screening tools 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 1 and 2

ANS: D

Objective: 5. Describe systems approaches to the promotion of mental health and the prevention and treatment of mental health disorders.

p. 232

Heading: Prevention of Mental Disorders and Promotion of Mental Health > Measure of Mental Health: Health-Related Quality of Life

Integrated Processes: Nursing Process

Client Need: Psychosocial Integrity

Cognitive Level: Application [Applying]

Concept: Promoting Health; Mood; Assessment

Difficulty: Moderate

Feedback
ATools to screen for depression include the Patient Health Questionnaire 2 and the CESD-10.
BTools to screen for depression include the Patient Health Questionnaire 2 and the CESD-10.
CThis is incorrect. Tools to screen for depression include the Patient Health Questionnaire 2 and the CESD-10. Screening tools for anxiety disorders include the Brief Symptom Checklist-18 of the My Mood Monitor (M-3).
DTools to screen for depression include the Patient Health Questionnaire 2 and the CESD-10.

PTS:1CON:Promoting Health | Mood | Assessment

6.During a course on mental disorders, a PHN learns that the term serious mental illness (SMI) refers to diagnosable mental disorders that may disrupt a person’s ability to function and may qualify that person for support services. The PHN also notes that the mental disorders that can lead to SMI include:

A.Mild depression
B.Panic disorder
C.Schizophrenia
D.Both 2 and 3

ANS: D

Objective: 1. Define the burden of disease related to mental disorders using current epidemiological frameworks.

pp. 225-226

Heading: Introduction

Integrated Processes: Teaching/Learning

Client Need: Psychosocial Integrity

Cognitive Level: Application [Applying]

Concept: Cognition; Mood; Stress; Promoting Health; Nursing Roles

Difficulty: Moderate

Feedback
AThis is incorrect. Major depression, however, is one of the mental disorders that can lead to SMI.
BBoth panic disorder and schizophrenia, among other mental disorders, can lead to SMI.
CBoth schizophrenia and panic disorder, among other mental disorders, can lead to SMI.
DThe mental disorders that can lead to SMI include major depression, panic disorder, schizophrenia, bipolar disorder, obsessive compulsive disorder (OCD), post-traumatic stress disorder (PTSD), and borderline personality disorder.

PTS: 1 CON: Cognition | Mood | Stress | Promoting Health | Nursing Roles

7.While studying the prevalence of mental health disorders worldwide, a 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

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

ANS: B

Objective: 1. Define the burden of disease related to mental disorders using current epidemiological frameworks.

p. 227

Heading: Epidemiology of Mental Disorders > Surveillance of Mental Health Disorders

Integrated Processes: Teaching/Learning

Client Need: Psychosocial Integrity

Cognitive Level: Application [Applying]

Concept: Promoting Health; Nursing Roles

Difficulty: Moderate

Feedback
AThis is incorrect. WHO developed the World Mental Health Survey to estimate human capital costs and mental disorders prevalence on a global scale. The CDC conducts many types of surveys on the prevalence of mental disorders but the organization did not develop the World Mental Health Survey.
BThe WHO developed the World Mental Health Survey to estimate human capital costs and mental disorders prevalence on a global scale.
CThis is incorrect. WHO developed the World Mental Health Survey to estimate human capital costs and mental disorders prevalence on a global scale. The IOM is involved in screening for mental health disorders and addresses the need for appropriate behavioral health treatment in its report, Improving the Quality of Health Care for Mental and Substance-Use Conditions: Quality Chasm Series.
DThis is incorrect. WHO developed the World Mental Health Survey to estimate human capital costs and mental disorders prevalence on a global scale. The World Health Assembly issued a resolution on mental health that aims to reduce the global burden of mental disorders and improve overall mental health worldwide.

PTS: 1 CON: Promoting Health | Nursing Roles

8.Which ethnic group has the highest 12-month prevalence of a mental disorder?

A.Hispanics
B.African Americans
C.Asian Americans
D.Non-Hispanic whites

ANS: D

Objective: 1. Define the burden of disease related to mental disorders using current epidemiological frameworks.

pp. 227-228

Heading: Epidemiology of Mental Disorders > Prevalence of Mental Health Disorders

Integrated Processes: N/A

Client Need: Psychosocial Integrity

Cognitive Level: Knowledge [Remembering]

Concept: Promoting Health

Difficulty: Moderate

Feedback
AThis is incorrect. Non-Hispanic whites have the highest 12-month prevalence rate for mental disorders at 21% compared with 16% for Hispanics.
BThis is incorrect. Non-Hispanic whites have the highest 12-month prevalence rate for mental disorders at 21% compared with 15% for African Americans.
CThis is incorrect. Non-Hispanic whites have the highest 12-month prevalence rate for mental disorders at 21% compared with 9% for Asian Americans.
DNon-Hispanic whites have the highest 12-month prevalence rate for mental disorders at 21%.

PTS:1CON:Promoting Health

9.A PHN learns in a behavioral health class that the relationship between physiology and mental health plays an important role in mental disorders. Which of the following physiological factors 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.1 and 2
D.Unstable family life

ANS: C

Objective: 3. Define the difference between behavioral, biological, environmental, and socioeconomic risk factors related to mental health disorders.

pp. 228-229

Heading: Behavioral, Biological, Environmental, and Socioeconomic Risk Factors > Individual Level Risk Factors for Mental Disorders

Integrated Processes: Teaching/Learning

Client Need: Psychosocial Integrity

Cognitive Level: Application [Application]

Concept: Cognition; Trauma; Promoting Health

Difficulty: Moderate

Feedback
ABoth conditions that affect brain chemistry and physical trauma are the physiological factors that may contribute to the development of mental disorders.
BBoth physical trauma and conditions that affect brain chemistry are physiological factors that may contribute to the development of mental disorders.
CConditions that affect brain chemistry and physical trauma are two of the physiological factors that may contribute to the development of mental disorders.
DThis is incorrect. Conditions that affect brain chemistry and physical trauma are two of the physiological factors that may contribute to the development of mental disorders. An unstable family life is not a physiological factor, although it may also contribute to the development of mental disorders.

PTS:1CON:Cognition | Trauma | Promoting Health

10.Which of the following community environment factors play a role in the development of mental disorders?

A.Living in high crime areas
B.Poverty
C.Both 1 and 2
D.Family instability

ANS: C

Objective: 3. Define the difference between behavioral, biological, environmental, and socioeconomic risk factors related to mental health disorders.

p. 229

Heading: Behavioral, Biological, Environmental, and Socioeconomic Risk Factors > Community-Level Risk Factors for Mental Disorders

Integrated Processes: N/A

Client Need: Psychosocial Integrity

Cognitive Level: Comprehension [Understanding]

Concept: Promoting Health

Difficulty: Easy

Feedback
ALiving in high crime areas is a factor, along with poverty.
BBoth poverty and living in high crime areas play a role in the development of mental disorders.
CBoth poverty and living in high crime areas play a role in the development of mental disorders.
DThis is incorrect. Although family instability often contributes to the development of mental disorders, it is not considered a community environment factor.

PTS:1CON:Promoting Health

11.____ 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

ANS: B

Objective: 3. Define the difference between behavioral, biological, environmental, and socioeconomic risk factors related to mental health disorders.

pp. 231-232

Heading: Culture, Stigma, and Mental Health Disorders

Integrated Processes: N/A

Client Need: Psychosocial Integrity

Cognitive Level: Comprehension [Understanding]

Concept: Promoting Health

Difficulty: Moderate

Feedback
AThis is incorrect. Stigma is a combination of personal attributes and societal stereotypes related to human characteristics viewed as unacceptable. Indicated prevention addresses specific subgroups at highest risk for development of a mental disorder or those that are showing early signs of a mental disorder.
BStigma is a combination of personal attributes and societal stereotypes related to human characteristics viewed as unacceptable.
CThis is incorrect. Stigma is a combination of personal attributes and societal stereotypes related to human characteristics viewed as unacceptable. Risk factors increase an individual’s chance of developing a mental disorder.
DThis is incorrect. Stigma is a combination of personal attributes and societal stereotypes related to human characteristics viewed as unacceptable. Transinstitutionalization refers to the growing number of mentally ill persons who are homeless, in jail, in shelters, or in other facilities instead of being home or in a hospital.

PTS:1CON:Promoting Health

12.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

ANS: B

Objective: 4. Apply current evidence-based population level interventions to the prevention of mental disorders and the promotion of optimal mental health for communities and populations.

p. 233

Heading: Prevention of Mental Disorders and Promotion of Mental Health > Promotion of Mental Health and Policy

Integrated Processes: Nursing Process

Client Need: Psychosocial Integrity

Cognitive Level: Application [Applying]

Concept: Promoting Health; Collaboration

Difficulty: Moderate

Feedback
AThis is incorrect. Intersectoral strategies engage more than one sector of society with a shared interest such as government agencies, grass roots citizens groups, nonprofits, and businesses. Indicated prevention addresses specific subgroups at highest risk for development of a mental disorder or those that are showing early signs of a mental disorder.
BIntersectoral strategies engage more than one sector of society with a shared interest such as government agencies, grass roots citizens groups, nonprofits, and businesses.
CThis is incorrect. Intersectoral strategies engage more than one sector of society with a shared interest such as government agencies, grass roots citizens groups, nonprofits, and businesses. Health-Related Quality of Life is the self-perceived impact of physical and emotional health on overall quality of life.
DThis is incorrect. Intersectoral strategies engage more than one sector of society with a shared interest such as government agencies, grass roots citizens groups, nonprofits, and businesses. The Institute of Medicine Model of Prevention is a framework for mental disorders that clearly separates prevention into three categories with specific interventions at each level.

PTS: 1 CON: Promoting Health | Collaboration

13.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

ANS: D

Objective: 4. Apply current evidence-based population level interventions to the prevention of mental disorders and the promotion of optimal mental health for communities and populations.

pp. 233-235

Heading: Prevention of Mental Disorders and Promotion of Mental Health > Secondary Prevention: Screening for Mental Disorders

Integrated Processes: Nursing Process

Client Need: Psychosocial Integrity

Cognitive Level: Application [Applying]

Concept: Pregnancy; Mood; Violence; Promoting Health; Nursing Roles

Difficulty: Moderate

Feedback
APPD can be triggered by a massive post-delivery hormone drop, intensify enough to cause delusions, and occur soon after delivery.
BPPD can be triggered by a massive post-delivery hormone drop, intensify enough to cause delusions, and occur soon after delivery.
CPPD can be triggered by a massive post-delivery hormone drop, intensify enough to cause delusions, and occur soon after delivery.
DPPD can be triggered by a massive post-delivery hormone drop, intensify enough to cause delusions, and occur soon after delivery.

PTS: 1 CON: Pregnancy | Mood | Violence | Promoting Health | Nursing Roles

14.A nurse working in labor and delivery requested permission from the nurse manager to conduct a quality improvement project to screen patients that might be susceptible to PPD. After completing the project, which of the following screening guidelines did the unit incorporate?

A.All patients will be screened for PPD when they are admitted to the labor and delivery unit.
B.Patients at high risk are referred to the attending obstetrician.
C.Before being discharged, all new mothers will complete a questionnaire specific to PPD symptoms.
D.All of the above

ANS: D

Objective: Apply current evidence-based population level interventions to the prevention of mental disorders and the promotion of optimal mental health for communities and populations.

pp. 233-235

Heading: Prevention of Mental Disorders and Promotion of Mental Health > Secondary Prevention: Screening for Mental Disorders

Integrated Processes: Nursing Process

Client Need: Psychosocial Integrity

Cognitive Level: Application [Applying]

Concept: Pregnancy; Mood; Promoting Health; Assessment; Quality Improvement

Difficulty: Moderate

Feedback
AThis is incorrect. Screening, high-risk referrals to the attending obstetrician and completion of a PPD symptom questionnaire were all incorporated.
BThis is incorrect. Screening, high-risk referrals to the attending obstetrician and completion of a PPD symptom questionnaire were all incorporated.
CThis is incorrect. Screening, high-risk referrals to the attending obstetrician and completion of a PPD symptom questionnaire were all incorporated.
DScreening, high-risk referrals to the attending obstetrician and completion of a PPD symptom questionnaire were all incorporated.

PTS:1

CON: Pregnancy | Mood | Promoting Health | Assessment | Quality Improvement

15.A PHN treats a patient who may be depressed. To verify suspicions, the PHN checks ____, the definitive clinical guide for diagnosing mental disorders and providing consistency and accuracy in the screening for mental disorders.

A.The Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
B.The Center for Epidemiological Studies Depression Scale (CESD-10)
C.Patient Health Questionnaire 2
D.Brief System Checklist-18 of the My Mood Monitor

ANS: A

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