MH-Chapter 27: Community Mental Health Nursing

The physician orders trazadone (desyrel) for Mrs. W, a 78 year old with depression, 150 mg to take at bedtime. Which of the following statements about this med would be appropriate for the home health nurse to make in teaching Mrs. W about trazadone? a. "You may feel dizzy when you stand up, so go slowly when you get up from sitting or lying down" b. You must be sure and note at any chocolate while taking this medication" c. We will need to draw a sample of blood to send to the lab every month while you are on this med" d. If you don't feel better right away, the doctor can order a different kind for you

a.

Which of the following represents a nursing intervention at the primary level of prevention? a. teaching a class in parent effectiveness training b. leading a group of adolescents in drug rehab c. referring a married couple for sex therapy d. leading a support group for battered women

a.

Which of the following represents a nursing intervention at the tertiary level of prevention? a. serving as case manager for a mentally ill homeless client b. leading a support group for newly retired men c. teaching prepared childbirth classes d. caring for a depressed widow in the hospital

a.

Three predominant client populations have been identified as benefiting most from psychiatric home health care. Which of the following is not included among this group? a. elderly individuals b. individuals living in poverty c. individuals with severe and persistent mental illness d. individuals in acute crisis situations

b

Ann is a psychiatric home health nurse. She has just received an order to begin regular visits to Mrs. W a 78 year old widow who lives alone. Mrs. W.'s primary care physician has diagnosed her as depressed. Which of the following criteria would qualify Mrs. W for home health visits? a. Mrs W never learned to drive and hast o depend on others for her transportation b. Mrs. W is physically too weak to travel without risk of injury c. Mrs. W refuses to seek assistance as suggested by her physician "because I don't have a psychiatric problem" d. Mrs W says she would prefer to have home visits than go to the physician's office

b.

Which of the following represents a nursing intervention at the secondary level of prevention? a. teaching a class about menopause to middle-aged women b. providing support in the emergency room to a rape victim c. leading a support group for women in transition d. making monthly visits to the home of a client with schizophrenia to ensure medication compliance

b.

Mrs. W a 78 year old depressed widow, says to her home health nurse, "What's the use? I don't have anything to live for anymore." Which is the best response on the part of the nurse? a. "Of course you do, mrs. w. Why would say such a thing?" b. "You seem so sad. i'm going to do my best to cheer you up." c. "Let's talk about why you are feeling this way." d. "Have you been thinking about harming yourself in any way?"

d.

secondary level prevention:

interventions aimed at minimizing early symptoms of psychiatric illness and directed toward reducing the prevalence and duration of illness accomplished by early identification of problems and prompt intiation of effective treatment

Primary level prevention:

prevention: services aimed at reducing the incidence of mental disorders within the population emphasis on: assisting individuals to increase their ability to cope effectively with stress and targeting and diminishing harmful forces (stressors) within the environment

Tertiary level prevention:

services aimed at reducing the residual defects that are associated with severe and persistent mental illness accomplished in two ways: 1. preventing complications of the illness 2. promoting rehabilitation that is directed toward achievement of each individual's maximum level of functioning

Ann is a psychiatric home health nurse. She has just received an order to begin regular visits to mrs. W a 78 year old widow who lives alone. she is diagnosed as depressed. Based on a needs assessment, which of the following problems would Ann address during her first visit? a. complicated grieving b. social isolation c. risk for injury d. sleep pattern disturbance

c.

John, a homeless person, has just come to live in the shelter. The shelter nurse is assigned to his care. Which of the following is a priority intervention on the part of the nurse? a. referring John to a social worker b. Developing a plan of care for John c. conducting a behavioral and needs assessment on John d. helping John apply for social security benefits

c.

John, a homeless person, has a history of schizophrenia and noncompliance with medications. Which of the following medications might be the best choice for John? a. Haldol b. Navane c. Lithium carbonate d. Prolixin decanoate

d.