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Nur 211 Chapter 36. Community Mental Health Nursing Testbank

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This is a comprehensive and detailed testbank on Chapter 36. Community Mental Health Nursing. *Essential!!

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  • October 19, 2024
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PSYCHIATRIC MENTAL HEALTH NURSING 9TH EDITION TOWNSEND TEST BANK
TestBank-PsychiatricMentalHealthNursingbyMaryTownsend(9thEdition,2017) 290



Chapter36.CommunityMentalHealthNursing
MultipleChoice

1.AnursinginstructoristeachingstudentsabouttheCommunityHealthCentersActof1963.Whatwasa
deterringfactortotheproperimplementationofthisact?

A.Manyperspectiveclientsdidnotmeetcriteriaformentalillnessdiagnostic-relatedgroups.

B.Zoninglawsdiscouragedthedevelopmentofcommunitymentalhealthcenters.

C.Statescouldnotmatchfederalfundstoestablishcommunitymentalhealthcenters.

D.Therewasnotasufficientemploymentpooltostaffcommunitymentalhealthcenters.

ANS:C

AdeterringfactortotheproperimplementationoftheCommunityMentalHealthCentersActof1963wasthat
statescouldnotmatchfederalfundstoestablishcommunitymentalhealthcenters.Thisactcalledforthe
constructionofcomprehensivecommunitymentalhealthcenterstooffsettheeffectsofdeinstitutionalization
causedbytheclosingofstatementalhealthhospitals.

KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Evaluation|ClientNeed:Safe
andEffectiveCareEnvironment

2.Anurseisimplementingcarewithintheparametersoftertiaryprevention.Whichnursingactionisan
exampleofthistypeofcare?

A.Teachinganadolescentaboutpregnancyprevention
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B.Teachinganelderlyclientthereportablesideeffectsofanewlyprescribedneurolepticmedication

C.Teachingaclientwithschizophreniatocookmeals,makeagrocerylist,andestablishabudget

D.Teachingaclientabouthisorhernewdiagnosisofbipolardisorder

ANS:C

Thenursewhoteachesaclienttocookmeals,makeagrocerylist,andestablishabudgetisimplementingcare
withintheparametersoftertiaryprevention.Tertiarypreventionisservicesaimedatreducingtheresidual
effectsthatareassociatedwithsevereandpersistentmentalillness.Itisaccomplishedbypromoting
rehabilitationthatisdirectedtowardachievementofmaximumfunctioning.

KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Implementation|ClientNeed:
PsychosocialIntegrity

3.Anursinginstructoristeachingaboutcasemanagement.Whatstudentstatementindicatesthatlearninghas
occurred?

A.Casemanagementisamethodusedtoachieveindependentclientcare.

B.Casemanagementprovidescoordinationofservicesrequiredtomeetclientneeds.

C.Casemanagementexiststofacilitateclientadmissiontoneededinpatientservices.

D.Casemanagementisamethodtofacilitatephysicianreimbursement.

ANS:B

Theinstructorevaluatesthatlearninghasoccurredwhenastudentdefinescasemanagementasproviding
coordinationofservicesrequiredtomeetclientneeds.Casemanagementstrivestoorganizeclientcaresothat




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, PSYCHIATRIC MENTAL HEALTH NURSING 9TH EDITION TOWNSEND TEST BANK
TestBank-PsychiatricMentalHealthNursingbyMaryTownsend(9thEdition,2017) 291


specificoutcomesareachievedwithinallottedtimeframes.

KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Evaluation|ClientNeed:
PsychosocialIntegrity

4.Aclientontheinpatientunittellsastudentnurse,Mylifehasnopurpose.Icantthinkaboutlivinganother
day,butpleasedonttellanyoneaboutthewayIfeel.Iknowyouareobligatedtoprotectmyconfidentiality.
Whichisthemostappropriatereplybythestudentnurse?

A.Thetreatmentteamiscomposedofmanyspecialistswhoareworkingtoimproveyourabilitytofunction.
Sharingthisinformationwiththeteamiscriticaltoyourcare.

B.Letsdiscussstepsthatwillresolvenegativelifestylechoicesthatmayincreaseyoursuicidalrisk.

C.Youseemtobepreoccupiedwithself.Youshouldconcentrateonhopeforthefuture.

D.Thisinformationissecurewithmebecauseofclientconfidentiality.

ANS:A

Themostappropriateresponsebythestudentnurseistoexplainthatsharingtheinformationwiththe
treatmentteamiscriticaltotheclientscare.Thenursespriorityistoensureclientsafetyandtoinformothers
oftheclientssuicidalideation.

KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Implementation|ClientNeed:
SafeandEffectiveCareEnvironment

5.Wheninterveningwithamarriedcoupleexperiencingrelationshipdiscord,whichreflectsanursing
interventionatthesecondarylevelofprevention?

A.Assessinghowthechildrenarecopingwiththeparentsrelationshipissues
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B.Supplyingthecouplewithguidelinesrelatedtomaritalseminarleadership

C.Teachingthecoupleaboutvariousmethodsofbirthcontrol

D.Counselingthecoupleinrelationtoopenandhonestcommunicationskills

ANS:D

Counselingthecoupleinrelationtoopenandhonestcommunicationskillsisreflectiveofanursing
interventionatthesecondarylevelofprevention.Secondarypreventionaimsatminimizingsymptomsandis
accomplishedthroughearlyidentificationofproblemsandpromptinitiationofeffectivetreatment.

KEY:CognitiveLevel:Analysis|IntegratedProcesses:NursingProcess:Implementation|ClientNeed:
PsychosocialIntegrity

6.Providingnursingeducationondrugabusetoahighschoolclassisanexampleofwhichlevelofpreventive
care?

A.Primaryprevention

B.Secondaryprevention

C.Tertiaryprevention

D.Primaryintervention

ANS:A

Providingnursingeducationondrugabusetoahighschoolclassisanexampleofprimaryprevention.Primary




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