Exam (elaborations)
Chapter 35. Community Mental Health Nursing
- Course
- Psychology
- Institution
- Forest Institute Of Professional Psychology
Chapter 35. Community Mental Health Nursing
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Chapter 35. Community Mental Health NursingMULTIPLE CHOICE
1. A nursing instructor is teaching students about the Mental
Health Parity and
Addictions Equity Act of 1980. What requirement did this act
establish?
1. The cost of inpatient and outpatient mental health and
substance abuse treatments must be the same as that charged for
medical/surgical issues.
2. No individuals can be denied inpatient or outpatient treatment
for mental health and substance abuse treatment, no matter their
legal situation.
3. Health insurance benefits for mental health and substance
abuse disorders cannot be
less favorable than for medical/surgical issues.
4. Health insurance premiums cannot have their rate increased
more than the cost-of-
living rate in the United States the previous year.
ANS: 3
Chapter: Chapter 35, Community Mental Health Nursing
Objective: Discuss the changing focus of care in the field of
mental health. Page: 789
Heading: The Changing Focus of Care
Integrated Processes: Nursing Process: Evaluation Client Need:
Safe and Effective Care Environment Cognitive Level:
Application [Applying]
Concept: Patient-Centered Care
Difficulty: Difficult
Feedback
1. This is incorrect. The Mental Health Parity and Addictions Act of 1980 required that
health insurance benefits for mental health and substance abuse disorders could not
abi
be less favorable than for medical/surgical issues. The law did not mandate that the
cost of those services be the same.
2. This is incorrect. The Mental Health Parity and Addictions Act of 1980 required that
health insurance benefits for mental health and substance abuse disorders could not be
less favorable than for medical/surgical issues. The law was not about the ab topic
of treatment denial.
3. This is correct. The Mental Health Parity and Addictions Act of 1980 required that
health insurance benefits for mental health and substance abuse disorders could not
be less favorable than for medical/surgical issues.
4. This is incorrect. The Mental Health Parity and Addictions Act of 1980 required ab
that health insurance benefits for mental health and substance abuse disorders could
not be less favorable than for medical/surgical issues. The law was not about the
topic of premium increase rates.
,Townsend PMHN, 10e Chapter 35 - ETB
CON: Patient-Centered Care
2. A nurse is implementing care within the parameters of tertiary
prevention. Which nursing action is an example of this type of
care?
1. Teaching an adolescent about pregnancy prevention
2. Teaching an elderly client the reportable side effects of a newly
prescribed neuroleptic medication
3. Teaching a client with schizophrenia to cook meals, make a
grocery list, and establish a budget
4. Teaching a client about their new diagnosis of bipolar disorder
ANS: 3
Chapter: Chapter 35, Community Mental Health Nursing
Objective: Discuss tertiary prevention of mental illness within the
community as it relates to the seriously mentally ill and homeless
mentally ill.
Page: 790
Heading: The Public Health Model
Integrated Processes: Nursing Process: Implementation
Client Need: Psychosocial Integrity Cognitive Level: Application
[Applying] Concept: Health Promotion
Difficulty: Moderate
Feedback
1. This is incorrect. 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 ab
prevention. Tertiary prevention describes 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 the achievement of
maximum functioning. Teaching an adolescent about pregnancy prevention is
primary prevention. ab
2. This is incorrect. 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 describes services aimed at reducing the residual
effects that are associated with severe and persistent mental illness. It is
ab
accomplished by promoting rehabilitation that is directed toward the achievement of
maximum functioning. Teaching a client about medication side effects is secondary
prevention.
, Townsen
d PMHN,
10e
3. This is correct. 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 ab
Chapter
prevention. Tertiary prevention describes services aimed at reducing the residual
35 - ETB
effects that are associated with severe and persistent mental illness. It is
accomplished by promoting rehabilitation that is directed toward the achievement of
maximum functioning.
ab
4. This is incorrect. 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
CON:promoting
Health Promotion
rehabilitation that is directed toward the achievement of maximum ab
functioning. Teaching a client about their new diagnosis is secondary prevention.
3. A nursing instructor is teaching about case management. What
student statement indicates that learning has occurred?
1. “Case management is a method used to achieve independent
client care.”
2. “Case management provides coordination of services required
to meet client needs.”
3. “Case management exists to facilitate client admission to
needed inpatient services.”
4. “Case management is a method to facilitate physician
reimbursement.”
ANS: 2
Chapter: Chapter 35, Community Mental Health Nursing
Objective: Discuss nursing intervention in primary prevention of
mental illness within the community.
Feedback
Page: 790
1. This is incorrect. The instructor evaluates that learning has occurred when a studentabi
Heading: The
defines casePublic Health
management Model coordination of services required to meet
as providing
client needs. Case management strives to organize client care so that specific
Integrated Processes: Nursing Process: Evaluation
Clientoutcomes
Need: are achieved within allotted time frames. Case management is not used to
Psychosocial Integrity
achieve independent client care.
Cognitive Level: Application [Applying] Concept: Patient-
2. This is correct. The instructor evaluates that learning has occurred when a student abi
Centered Care
defines caseDifficulty:
management as Easy
providing coordination of services required to meet
client needs. Case management strives to organize client care so that specific
outcomes are achieved within allotted time frames.
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