Test Generator Questions, Chapter 25, Behavioral Health in the Community

Format: Multiple Choice

Chapter: 25

Client Needs: Psychosocial Integrity

Cognitive Level: Apply

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 1

Page and Header: 711, Box 25-1 Behavioral Health Terminology

1. A community health nurse is meeting with a group of individuals who have been diagnosed with a mental disorder. The nurse interprets this to mean:

A) the clients have impaired level of functioning and quality of life.

B) the clients’ disorder is acute and persistent.

C) the clients have issues of impaired control and dependency.

D) the clients have a significant behavior syndrome with present distress.

Difficulty: Easy

Integrated Process: Nursing Process

Objective: 1

Page and Header: 717, Suicide

2. When developing appropriate programs for adult mental health promotion, the nurse incorporates knowledge about the risk for suicide. Which provides the rationale for adding the risk for suicide in the program?

A) Suicide is part of the Health People 2030 objectives.

B) Recognizing at- risk groups can reduce suicide rates.

C) Men have more mental illness and more suicide attempts.

D) By addressing risks, the nurse can plan for methods and location of injury for all persons.

Difficulty: Difficult

Integrated Process: Teaching/Learning

Objective: 2

Page and Header: 719, Substance Use

3. After teaching a group of women in the community about commonly used substances that contribute to substance-related disorders, the community health nurse determines that the teaching has been effective when the group identifies that:

A) alcohol, inhalants, and opioid analgesics are commonly used.

B) women of color and women on welfare are more likely to experience substance abuse than women in the general population.

C) a history of mental illness usually accompanies substance abuse.

D) multiple screening tools need to be used to determine substance abuse.

Difficulty: Easy

Integrated Process: Teaching/Learning

Objective: 3

Page and Header: 721, Figure 25-9 What is a standard drink?

4. A community health nurse is part of a community discussion group on alcohol. The nurse explains that one standard drink contains about how many grams of alcohol?

A) 10 g

B) 14 g

C) 20 g

D) 24 g

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 3

Page and Header: 722, Box 25-7 C/PHN Use of the Nursing Process: Detection and Management of At-Risk Alcohol Use

5. A nurse had determined that a group of high school students are using alcohol. What is the next step after the nurse has screened for alcohol use?

A) A brief intervention related to how alcohol affects their health and wellness.

B) Use another screening tool to assess for drug abuse.

C) Refer the high school student to treatment facilities covered by insurance.

D) Inform the parents of the students who participated in the screening.

Difficulty: Easy

Integrated Process: Nursing Process

Objective: 2

Page and Header: 724, Marijuana

6. After teaching a class about commonly used illicit substances, the instructor determines that the teaching was successful when the class identifies which illicit drug as the most frequently reported?

A) Heroin

B) Methamphetamine

C) Marijuana

D) Cocaine

Difficulty: Easy

Integrated Process: Nursing Process

Objective: 3

Page and Header: 712, Alcohol Use

7. A community health nurse is discussing alcohol use disorders and is explaining what is meant by a standard drink. Which would the nurse include as examples? Select all that apply.

A) Two 12-oz cans of beer

B) 5-oz glass of wine

C) 1.5 oz of an 80-proof spirit

D) 3 oz of a cordial

E) Two bottles of wine cooler

Difficulty: Easy

Integrated Process: Nursing Process

Objective: 5

Page and Header: 726, Figure 25-12 A guide to SAMHSA’s Strategic Prevention Framework

8. A nurse is preparing to seek resources to maintain a prevention program for substance misuse in the community. Which local community partners should be invited to plan for the program? Select all that apply.

A) School district representatives

B) Small business owners

C) Law enforcement

D) Homeowners

E) Community hospital representative

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 5

Page and Header: 726, Figure 25-12 A guide to SAMHSA’s Strategic Prevention Framework

9. A nurse is reviewing the SAMHSA program planning document. Which is the correct order of steps in the Strategic Prevention Framework (SPF) for substance misuse program planning?

A) Assessment, capacity, planning, implementation, and evaluation

B) Assessment, intervention, and evaluation

C) Development, planning, evaluation, and repetition

D) Review, execution, enforcement, and analysis

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 5

Page and Header: 726, Figure 25-12 A guide to SAMHSA’s Strategic Prevention Framework

10. The community health nurse is working with a team of community stakeholders to design a prevention program for substance abuse. The group is in the planning stage. What question should lead the group discussion about this stage?

A) What is the problem?

B) What do we have already in place?

C) What should we do and how should we do it?

D) How can we put our plan into action?

Difficulty: Easy

Integrated Process: Nursing Process

Objective: 5

Page and Header: 726, Figure 25-12 A guide to SAMHSA’s Strategic Prevention Framework

11. A community health nurse is providing an in-service program to the agency staff about the Strategic Prevention Framework of SAMHSA, which will be used to develop behavioral intervention programs. The nurse determines that the staff had understood the teaching when they state which of the following?

A) The entire process is based on community stakeholders.

B) Inherent to the process is for individuals and organizations engaged to have cultural competence.

C) To be sustainable, the organization will pilot the program at multiple sites over 5 years.

D) Evaluation of the program is based on subjective evaluations administered through e-mail.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 4

Page and Header: 715, Prevention of Substance Use and Mental Disorders

12. A community health nurse is applying the Institute of Medicine model based on Gordon’s Classification of Disease Prevention model to address prevention of alcohol use during pregnancy and prevention of fetal alcohol syndrome. Which population would the nurse target using indicated prevention strategies?

A) Local women in the community of childbearing age

B) Women of childbearing age living in a city

C) Women of childbearing age considered at risk

D) Pregnant women who have a child with fetal alcohol syndrome

Difficulty: Easy

Integrated Process: Nursing Process

Objective: 3

Page and Header: 715, Prevention of Substance Use and Mental Disorders

13. A community implements a plan to enforce the underage drinking law. The community health nurse interprets this action as reflecting which public health model?

A) Primary prevention

B) Behavioral prevention

C) Environmental prevention

D) Clinical prevention

Difficulty: Easy

Integrated Process: Nursing Process

Objective: 5

Page and Header: 712, Integration of Behavioral Health Services

14. Which statement about mental health and substance use services is most accurate?

A) They are all associated with the government.

B) A for-profit organization that promotes mental health is Mental Health America, which was established in 1909.

C) They are separated focusing on behavioral and physical risk complexity.

D) Population- based needs called for integration of behavioral health programs.

Difficulty: Difficult

Integrated Process: Nursing Process

Objective: 3

Page and Header: 726, Community- and Population-Based Interventions

15. Healthy People 2030 objectives focus on tobacco, alcohol, and illicit drug use education. Identify the steps in the process to providing this education. Select all that apply.

A) Identifying the impact of substance use on the environment

B) Identifying trends of substance use to develop a prevention program

C) Understanding the consequences of substance use that affect a community as a whole

D) Differentiating between legal and illegal substance use

E) There are no differences in prevention programs for different populations

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 2

Page and Header: 722, Box 25-7 C/PHN Use of the Nursing Process: Detection and Management of At-Risk Alcohol Use

16. A community health nurse is involved in a screening program for alcohol use with an ethnically diverse population. Which instrument would be the best to use?

A) Alcohol Use Disorders Identification Test (AUDIT)

B) CAGE questionnaire

C) Michigan Alcoholism Screening Test (MAST)

D) Drug Abuse Screening Test (DAST)

Difficulty: Easy

Integrated Process: Nursing Process

Objective: 2

Page and Header: 712, Box 25-2 Safe Consumption Sites: Tensions Between Harm Reduction and Public Safety

17. Which would the community health nurse associate as a major limitation for the development of safe consumption sites for those to overuse drugs?

A) Reduce drug overdose deaths.

B) Encourage drug abusers to seek help and treatment.

C) Create social problems in neighborhoods.

D) Discourage people to use drugs.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 5

Page and Header: 726, Community- and Population-Based Interventions

18. Which statements about Healthy People 2030 and reducing substance use and addressing mental health needs are most accurate? Select all that apply.

A) After a diagnosis is established, the nurse can decide on an intervention that can address the specific public health issue identified in the diagnosis using the Healthy People 2030 objectives.

B) It could be considered a priority as 3 of the top 10 health indicators relate to substance use and mental health.

C) Target benchmarks and data derivation for each objective can be used to guide program development.

D) Reducing substance abuse and addressing mental health needs are not priority with Healthy People 2030.

E) The goals are to improve mental health through prevention and to reduce substance abuse to protect the health, safety, and quality of life for all, especially children.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 3

Page and Header: 726, Community- and Population-Based Interventions

19. A community health nurse has completed a community assessment. Which action would be taken next?

A) Decide on an intervention.

B) Locate an appropriate specific focus area in Healthy People 2020.

C) Establish a community diagnosis.

D) Determine the level of prevention.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 2

Page and Header: 710, Supervised Injection Sites

20. A community health nurse is working with a political group to lobby to develop safe consumption sites. The nurse is functioning in which role?

A) Educator

B) Collaborator

C) Advocate

D) Case manager

Difficulty: Difficult

Integrated Process: Nursing Process

Objective: 3

Page and Header: 715, Box 25-3 The C/PHN’s Role in the Fight against the Opioid Epidemic

21. Which vital role must the community health nurse use to understand and serve populations addicted to opioid medications?

A) Advocate for changes to prescribing opioids.

B) Educate about compassion fatigue to caregivers who care for those with addiction.

C) Manage cases using the same approach and treatment options.

D) Study data regarding opioid addictions.

Difficulty: Easy

Integrated Process: Nursing Process

Objective: 2

Page and Header: 711, Legalization of Marijuana/Cannabis

22. A nurse caring for a client states that the client has used marijuana within the last couple of days. When screened using a validated survey tool, the client has not consumed any other drugs. Which statement correctly supports the use of marijuana today?

A) There has been no documented therapeutic role of cannabis for opioid use treatment.

B) There has been a rapid expansion of the legalization of cannabis in the United States.

C) Marijuana use has been increasing along with other illegal drugs including alcohol.

D) Peer based recovery support services encourage use of some type of drug usage.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 4

Page and Header: 718, Major Depressive Episode

23. The community health nurse is discussing the various depression screening tools available to use when completing an initial assessment on a new client referral. Which tool, if used by the student nurse during the initial client assessment, indicates appropriate screening tool selection for a client suspected of depression?

A) AUDIT (US)

B) Adapted-SAD PERSONS

C) Brief Psychiatric Rating Scale (BPRS)

D) Patient Health Questionnaire-9 (PHQ-9)

Difficulty: Easy

Integrated Process: Nursing Process

Objective: 4

Page and Header: 716, Box 25-4 Levels of Prevention Pyramid

24. When developing appropriate community programs for adult mental health clients, the nurse incorporates interventions about the most prevalent mental disorders. Which level of prevention would the nurse be implementing?

A) Primary

B) Secondary

C) Tertiary

D) Health promotion

Difficulty: Moderate

Integrated Process: Teaching/Learning

Objective: 4

Page and Header: 716, Box 25-4 Levels of Prevention Pyramid

25. The community health nurse is planning a smoking cessation program for expectant mothers in a rural farming community. Which level of prevention would the nurse be implementing?

A) Primary

B) Secondary

C) Tertiary

D) Health promotion

Difficulty: Moderate

Integrated Process: Teaching/Learning

Objective: 3

Page and Header: 718, Figure 25-6

26. A nurse is preparing to teach about substance abuse to a community group. According to the data from the SAMHSA, which should be included in the teaching plan?

A) Substance abuse affects more males than females.

B) The age group of 18 to 25 years has more of a risk than other age groups.

C) Substance abuse is more prevalent in the black population.

D) Those who have comorbidities such as diabetes and hypertension also have substance abuse.

Difficulty: Moderate

Integrated Process: Communication and Documentation

Objective: 4

Page and Header: 714, Figure 25-4

27. A nurse is caring for a client who has a substance abuse disorder. The client states that she is not interested in learning about how substance abuse affects her nor wanting to engage in group therapy to find alternative methods to avoid the substance. Which does the nurse document in the interaction?

A) The client identifies with quadrant 1 risk in MH/SA risk.

B) The client demonstrates behavior consistent of the quadrant 2 in MH/SA risk.

C) The client is exhibiting quadrant 3 in MH/SA risk.

D) The client is progressing quadrant 4 behaviors in the MH/SA risk.

Difficulty: Moderate

Integrated Process: Teaching/Learning

Objective: 2

Page and Header: 714, Figure 25-4

28. A nurse is preparing to teach about alcohol and its effect on health. Which are diseases associated with alcohol use? Select all that apply.

A) Liver cirrhosis

B) Cancers of the mouth, breast, and colon

C) Hypertension

D) Coronary artery disease

E) Diabetes

F) Chronic obstructive pulmonary disease