Chapter 12: Prevention and Mental Health Promotion

Principles And Practice of Psychiatric Nursing,10th Edition by Gail Wiscarz Stuart

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Chapter 12: Prevention and Mental Health Promotion

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. The nurse explains that the main goal of primary prevention is the reduction of the _____ of mental disorders.
a. severity
b. duration
c. incidence
d. prevalence

 

 

ANS:  C

Primary prevention is lowering the incidence of a mental disorder or reducing the rate at which new cases of the disorder develop. Secondary prevention reduces the prevalence of a mental disorder. Tertiary prevention reduces the severity of a mental disorder and its associated disability.

 

DIF:    Cognitive Level: Comprehension     REF:   Text Page: 169

TOP:   Nursing Process: Planning               MSC:  NCLEX: Health Promotion and Maintenance

 

  1. A psychiatric nurse is assessing the need for mental health services at the clinic. When estimating the number of patients with bipolar disorder in the community, the nurse places highest priority on which data-gathering technique?
a. Community forums that solicit data shared by patients and families
b. Epidemiological studies that indicate incidence and prevalence of disease
c. Use of key informants, such as local social service personnel, nurses, and physicians
d. Statistics from local public reports about race, marital status, population density, and substance abuse

 

 

ANS:  B

Epidemiological studies examine the incidence (number of new cases) and prevalence (number of current existing cases) of a disease or disorder in a defined population over a specified period. The nurse who is trying to plan for services would find these data very helpful. The remaining options refer to other methods of assessing community needs, but they are not as well suited to gathering the data identified by this question.

 

DIF:    Cognitive Level: Application           REF:   Text Page: 169

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity

 

  1. What is the essential difference between the nursing prevention model and the medical prevention model?
a. The medical model targets universal populations; the nursing model targets a selective population.
b. The medical model assumes that all people are at equal risk; the nursing model attempts to identify those who are more vulnerable.
c. The medical model attempts to identify the most likely cause of the disease; the nursing model stresses that mental disorders are multicausal.
d. The medical model offers a continuum of nonspecific preventive measures; the nursing model offers one specific, tested, preventive measure.

 

 

ANS:  C

The primary difference is the medical model’s attempt to identify a single cause of a disease; the nursing model assumes that mental disorders result from the interplay of several risk and protective factors.

 

DIF:    Cognitive Level: Comprehension     REF:   Text Pages: 169-170

TOP:   Nursing Process: N/A MSC:             NCLEX: Psychosocial Integrity

 

  1. A psychiatric nurse is responsible for providing patient-focused health education. In order to promote primary prevention of mental health problems, the nurse stresses:
a. trust.
b. resilience.
c. networking.
d. motivation.

 

 

ANS:  B

The health education strategy of primary prevention in mental health involves the strengthening of individuals and groups through building of competence or resilience. The other answers do not address this particular trait.

 

DIF:    Cognitive Level: Application           REF:   Text Page: 171

TOP:   Nursing Process: Planning               MSC:  NCLEX: Psychosocial Integrity

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