Community Chapter 21 Mental Health

12.The nurse assesses a client who recently attempted suicide by prescription drug overdose. Based on knowledge of a recent study of the findings of the Third National Health and Nutrition Survey, what is the most important risk factor to assess for in this client? A) Substance abuse B) Major depressive disorder C) Social isolation D) Chronic pain

B) Major depressive disorder

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. The biggest reason for this trend is: A) Deinstitutionalization B) An increase in the prevalence of major mental illness C) Economic downturns D) Shortages of affordable housing

A) Deinstitutionalization

2. Primary, secondary, and tertiary levels of prevention help reduce risk, identify and limit disabilities, and reduce complications of mental health problems. Which exmplifies 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

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

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

A) Hyperactivity and impulsivity

19. A woman mentions that her 6-month-old son has demonstrated some odd behavior. She thinks it might be related to autism. She asks what age would be best to have screening done on the child. The nurse should respond: 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

A) Now, as an infant

6.The nurse examines a client who is taking haloperidol for schizophrenia and notices that she habitually twists her tongue and arms. This side effect of her medication is known as: A) Tardive dyskinesia B) Akathisia C) Dystonia D) Neuroleptic malignant syndrome

A) Tardive dyskinesia

16.At what age are prodromal assessment symptoms of bipolar disorder typically evident? A) Younger than 3 years of age B) Younger than 6 years of age C) Younger than 9 years of age D) Younger than 12 years of age

A) Younger than 3 years of age

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

B) Olanzapine

8.The nurse teaches about medication to a client who has just been diagnosed with schizophrenia. The psychiatrist has prescribed clozapine to the client. The primary adverse effect that the nurse should mention is: A) Hypoglycemia B) The metabolic syndrome C) Weight loss D) Dystonia

B) The metabolic syndrome

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

A,C,D,E

18.The identification of parental age as a potential risk factor in autism raises the issue that lifetime exposure to environmental toxins might damage the sperm and the ovum. Research findings suggest that the risk of autism in relation to age of the parent at the time of the child's birth is increased by: A) 30% if the father is older than 40 years B) 30% if the mother is older than 35 years C) 40% if the father is older than 35 years D) 40% if the mother is older than 40 years

B) 30% if the mother is older than 35 years

5.On the basis of the understanding of demographic risk factors related to mental illness, which individual would be most likely to have an untreated psychiatric disorder? A) 50-year-old Caucasian man B) 35-year-old Korean woman C) 12-year-old Hispanic girl D) 18-year-old African-American man

D) 18-year-old African-American man

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

B,C,E

4.Which mental illness is most likely to go untreated? A) Anxiety B) Bipolar disorder C) Depression D) Alcoholism

D) Alcoholism

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. The most accurate way to describe this type of illness would be as a: A) Mental illness B) Gastrointestinal disorder C) Culture-bound syndrome D) Hypochondria

C) Culture-bound syndrome

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 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

C) Suggest to the client's parents that they lock up all sharp knives in the house

11.There is substantial variation in the incidence of mood disorders and suicide across cultures worldwide. The two most consistent factors associated with the incidence of depression and anxiety are: A) Number of parents in the home and education level B) Degree of social support and employment status C) Number of parents in the home and degree of social support D) Education level and employment status

D) Education level and employment status

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

D) Promote support groups for people with mental health disorders

21.The nurse works with a client who was just diagnosed with major depression. Which would the nurse most suspect will be prescribed as the first line of treatment for this client? A) Tricyclic antidepressant (TCA) B) Electroconvulsive therapy (ECT) C) Stimulant D) Selective serotonin reuptake inhibitor (SSRI)

D) Selective serotonin reuptake inhibitor (SSRI)

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

D) Social costs

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 suspect this client is taking? A) First-generation antipsychotic B) Second-generation antipsychotic C) Mood stabilizer D) Stimulant

D) Stimulant