NR 606 FINAL EXAM 2025/2026 COMPLETE QUESTIONS AND ANSWERS

NR 606 FINAL EXAM 2025/2026 COMPLETE QUESTIONS AND ANSWERS “What is mental health promotion? - CORRECT ANSWER Efforts to enhance mental well-being and prevent mental health problems." "Why is mental health promotion important? - CORRECT ANSWER To optimize mental health for children and youths." "Why do the mental health needs of children and youth remain largely unmet? - CORRECT ANSWER Limited access and utilization of evidence-based treatment." "What has increased threats to family well-being and stressors? - CORRECT ANSWER Pandemic-related challenges." "What is the urgent need in light of pandemic-related challenges? - CORRECT ANSWER Mental health promotion, prevention, and early evidence-based intervention." "What is the goal of mental health promotion? - CORRECT ANSWER To reduce the heavy disease burden." "What is the focus of mental health promotion? - CORRECT ANSWER Enhancing mental well-being and preventing mental health problems." "What population does mental health promotion target? - CORRECT ANSWER Children and youths." "What is prevention of depression? - CORRECT ANSWER Occurs during early adolescence, adolescence, and young adulthood phases." "What is prevention of schizophrenia? - CORRECT ANSWER Occurs during adolescence and young adulthood phases." "What are the specific family adversities focused on in prevention? - CORRECT ANSWER Bereavement, divorce, parental psychopathology, parental substance abuse, and parental incarceration." "During which phases does prevention focused on specific family adversities occur? - CORRECT ANSWER Prenatal, infancy, early childhood, childhood, early adolescence, and adolescence phases." "When do community interventions occur? - CORRECT ANSWER Prenatal, infancy, early childhood, childhood, early adolescence, and adolescence phases." "When do policy interventions occur? - CORRECT ANSWER Prenatal, infancy, early childhood, childhood, early adolescence, adolescence, and young adulthood phases." "What is early childhood intervention? - CORRECT ANSWER Services and support for children with developmental delays or disabilities." "What are virtual visits? - CORRECT ANSWER Synchronous live visits conducted via video, telephone, or live chat." "What are chat-based interactions? - CORRECT ANSWER Asynchronous chats held online or using a mobile app for consultation, diagnosis, or treatment." "What is remote client monitoring? - CORRECT ANSWER Collection, transmission, and evaluation of individual health data to a care team." "What are technology-enabled modalities? - CORRECT ANSWER Telehealth modalities for consultation, education, data transmission, diagnostic support, and digital therapeutics." "How can states expand access to mental health services? - CORRECT ANSWER By implementing school-based health centers." "What professionals are part of the interdisciplinary team in SBHCs? - CORRECT ANSWER Mental health professionals and other providers." "What mental health disorders are screened for in SBHCs? - CORRECT ANSWER Depression, anxiety, ADHD." "What are some barriers to the use of telehealth? - CORRECT ANSWER Regulations, licensing of providers, insurance coverage, and client access to technology." "How did the COVID-19 pandemic impact the use of telehealth? - CORRECT ANSWER It increased the use of telehealth and alleviated some barriers." "What varies regarding telehealth regulations? - CORRECT ANSWER Regulations vary from state to state." "What can be a barrier to client access to telehealth technologies? - CORRECT ANSWER Limited availability or lack of access to necessary technology." "What are family support needs in the context of telehealth? - CORRECT ANSWER The support and resources required for families to effectively utilize telehealth services." "How can telehealth ease the burden for clients and families? - CORRECT ANSWER By eliminating the need for parents to take time off work and make alternate childcare arrangements for appointments." "What types of digital health interventions have shown promise for engaging children and adolescents? - CORRECT ANSWER Websites, games, computer-assisted programs, apps, robots, digital devices, virtual reality, and mobile text messaging." "What challenges do families of children with lifelong mental health conditions face? - CORRECT ANSWER Difficulty finding services as children transition to adulthood." "What role can a psychiatric mental health nurse practitioner (PMHNP) play in supporting families? - CORRECT ANSWER Guiding families in accessing necessary services and providing documentation." "What types of support and services are offered by government programs? - CORRECT ANSWER Housing, job training, work accommodations, healthcare, education, and legal assistance." "What is the purpose of Supplemental Security Income (SSI)? - CORRECT ANSWER To provide monthly benefits to individuals with limited income or resources." "What is meant by the burden of mental health disorders? - CORRECT ANSWER The impact and challenges posed by mental health conditions." "What is the global burden of mental health disorders? - CORRECT ANSWER Nearly 15% of children and adolescents worldwide experience mental health conditions." "What are the leading causes of illness and disability among adolescents? - CORRECT ANSWER Depression, anxiety, and behavioral disorders." "What is the fourth leading cause of death in 15 to 19-year-olds? - CORRECT ANSWER Suicide." "What are the four foundational pillars to support global mental health? - CORRECT ANSWER 1. Mental health serves the public good on a global scale. 2. Mental health exists on a continuum. 3. Each individual's mental health is unique. 4. Mental health is a fundamental human right." "What are the six key actions to achieve the pillars of global mental health? - CORRECT ANSWER 1. Increase the scale of mental health services and universal health coverage. 2. Address barriers to mental health. 3. Protect mental health through policy development. 4. Embrace new opportunities for mental health interventions. 5. Restructure the use of existing healthcare resources. 6. Invest in research and innovation in the field." "What are some situations that contribute to the development of mental health disorders? - CORRECT ANSWER Conflict, displacement, human trafficking, natural disasters, and climate change." "What are some common mental health conditions that result from exposure to these elements? - CORRECT ANSWER Anxiety, depression, and post-traumatic stress disorder (PTSD)." "How many individuals in conflict-affected areas live with some form of mental health disorder? - CORRECT ANSWER One in five." "How many individuals in conflict-affected areas have a moderate to severe mental health disorder? - CORRECT ANSWER One in ten." "How many children globally live in an area affected by armed conflict? - CORRECT ANSWER One in four." "What are some risks that children in conflict zones may face? - CORRECT ANSWER Loss of family members, displacement, violent trauma, sexual abuse, human trafficking, being used as human shields, and being exploited as child soldiers." "What do children in conflict zones often lose access to? - CORRECT ANSWER Health care and education." "What are the lifelong mental health implications of children's experiences with conflict? - CORRECT ANSWER Post-traumatic stress disorder (PTSD) and depression." "What percentage of those with direct exposure to traumatic war experiences are affected by PTSD and depression? - CORRECT ANSWER Up to 1/3." "What are former child soldiers at risk for when they return home? - CORRECT ANSWER Stigma and a lack of community acceptance." "What is the most common mental health condition among those with direct exposure to traumatic war experiences? - CORRECT ANSWER Post-traumatic stress disorder (PTSD)." "What is the second most common mental health condition among those with direct exposure to traumatic war experiences? - CORRECT ANSWER Depression." "What is the estimated prevalence of mental health disorders among individuals in conflict-affected areas? - CORRECT ANSWER One in five." "What is the estimated prevalence of moderate to severe mental health disorders among individuals in conflict-affected areas? - CORRECT ANSWER One in ten." "What is climate change? - CORRECT ANSWER Global crisis impacting mental health." "How are climate hazards and extreme weather disasters affected by climate change? - CORRECT ANSWER Intensified and increased risk." "How has the trend of climate-fueled disasters changed in the last 30 years? - CORRECT ANSWER Tripled." "What are the adverse effects of climate change on physical and mental health? - CORRECT ANSWER Anxiety, depression, trauma, PTSD." "How do acute events impact individual mental health? - CORRECT ANSWER Increases anxiety, depression, trauma, PTSD." "What are the potential consequences of acute events on individuals? - CORRECT ANSWER Risky behavior, feelings of abandonment, suicidal ideation." "How do acute events impact the community? - CORRECT ANSWER Social relationship strain, decreased social unity, increased interpersonal violence." "What are the potential consequences of acute events on the community? - CORRECT ANSWER Domestic and child abuse, aggression toward vulnerable populations." "What mental health disorders can be increased by longer-term climate events? - CORRECT ANSWER Mood and anxiety disorders, schizophrenia, dementia, suicide, interpersonal violence." "What are common emotional responses to longer-term climate events? - CORRECT ANSWER Grief, emotional pain, disorientation, poor work performance." "What negative impacts can displacement due to disaster have on mental health? - CORRECT ANSWER Loss of home, community, livelihoods." "How does weather-related crises compare to conflict and violence in terms of displacement? - CORRECT ANSWER Twice as much displacement." "How many people are forced to move each year due to weather-related crises? - CORRECT ANSWER Average of 21.5 million people." "What organization provided data on displacement due to weather-related crises? - CORRECT ANSWER United Nations High Commission for Refugees (UNHCR)." "What is the impact of climate change on mental health according to Oxfam International? - CORRECT ANSWER Significant adverse effects." "What are the sources of impacts on mental health from climate change according to the American Psychological Association and ecoAmerica? - CORRECT ANSWER Acute and longer-term disaster events." "What is the relationship between climate change and mental health? - CORRECT ANSWER Climate change impacts mental health negatively." "What is human trafficking? - CORRECT ANSWER The recruitment, transportation, transfer, harboring, or receipt of persons by means of threat, use of force, or other forms of coercion for the purpose of exploitation." "What is the definition of human trafficking? - CORRECT ANSWER Recruitment, transportation, transfer, harboring, or receipt of persons for exploitation." "What are some means used in human trafficking? - CORRECT ANSWER Force, coercion, abduction, fraud, deception, abuse of power." "What does exploitation include in human trafficking? - CORRECT ANSWER Prostitution, sexual exploitation, forced labor, slavery, servitude, organ removal." "Who can be a victim of human trafficking? - CORRECT ANSWER Anyone regardless of gender, age, sexuality, nationality, socioeconomic status, or location." "Who can be traffickers in human trafficking? - CORRECT ANSWER Family members, friends, caregivers, bosses, or strangers." "What is the global statistic for human trafficking victims per 1,000 people? - CORRECT ANSWER 5.4 victims." "What proportion of human trafficking victims are children? - CORRECT ANSWER One in four." "How many human trafficking victims are there worldwide? - CORRECT ANSWER 40.3 million." "How many human trafficking victims are in forced labor? - CORRECT ANSWER 24.9 million." "How many human trafficking victims are in sexual exploitation? - CORRECT ANSWER 4.8 million." "How many human trafficking victims are in forced marriage? - CORRECT ANSWER 15.4 million." "What proportion of the sex industry consists of women and children? - CORRECT ANSWER At least 90%." "Why do the statistics not capture the total numbers of human trafficking victims? - CORRECT ANSWER Underreporting." "What is the significance of promoting positive mental health? - CORRECT ANSWER It is just as important as preventing and treating mental health problems." "What do recent trends in pediatric health show? - CORRECT ANSWER Significant increases in diagnosed mental health conditions among youth in the U.S." "What were the increases in diagnoses of anxiety and depression between 2016 and 2020? - CORRECT ANSWER Nearly 30%." "What was the increase in behavior or conduct problems between 2019 and 2020? - CORRECT ANSWER 21%." "What exacerbated the troubling trends in mental health conditions? - CORRECT ANSWER Challenges related to the COVID-19 pandemic and other existential threats to survival." "What was the prevalence of mental health disorders among U.S. children and youth before the pandemic? - CORRECT ANSWER One in five." "What happened to mental health symptoms with the pandemic? - CORRECT ANSWER They increased significantly." "What age do nearly half of all mental disorders have onset? - CORRECT ANSWER Age 14." "When do generalized psychosocial disturbances often occur? - CORRECT ANSWER Well before age 14." "What opportunities does early childhood present for identifying those at risk for mental health problems? - CORRECT ANSWER Many social, family, and biological risk factors for mental illness." "What are some mental health promotion activities? - CORRECT ANSWER Individual behaviors and creating supportive living conditions." "What are some pediatric mental health promotion strategies? - CORRECT ANSWER Early childhood interventions, support programs for children and vulnerable groups, school-based activities, youth programs, community development programs." "What is mental health prevention? - CORRECT ANSWER Similar to physical health prevention, it aims to minimize the impact of existing mental health problems." "What are the developmental phases for mental health prevention? - CORRECT ANSWER Prior to conception, prenatal, infancy, early childhood, childhood, early adolescence, adolescence, young adulthood." "What occurs during the prior to conception phase of mental health prevention? - CORRECT ANSWER Pregnancy prevention." "What occurs during the prenatal phase of mental health prevention? - CORRECT ANSWER Prenatal care." "What occurs during the prenatal and infancy phases of mental health prevention? - CORRECT ANSWER Home visiting." "What occurs during the infancy and early childhood phases of mental health prevention? - CORRECT ANSWER Early childhood interventions." "What occurs during the infancy, early childhood, childhood, early adolescence, and adolescence phases of mental health prevention? - CORRECT ANSWER Parenting skills training." "What occurs during the infancy, early childhood, and childhood phases of mental health prevention? - CORRECT ANSWER Social and behavioral skills training." "What occurs during the childhood, early adolescence, and adolescence phases of mental health prevention? - CORRECT ANSWER Classroom-based curriculum to prevent substance abuse, aggressive behavior, or risky sex." "What skills can early intervention help address? - CORRECT ANSWER Physical, cognitive, communication, adaptive, social, or emotional skills." "What services may be included in early childhood intervention? - CORRECT ANSWER Speech, occupational, or physical therapy, psychological services, social work, or medical care." "What else may be included in early childhood intervention? - CORRECT ANSWER Parent training, counseling, and support." "Who can parents and caregivers reach out to for early intervention for children under age three? - CORRECT ANSWER Their state's early intervention program." "Who is the best point of contact for early intervention for children older than three years? - CORRECT ANSWER The local public school." "How are early childhood intervention services funded? - CORRECT ANSWER By each state, federal grants are available for low or no cost." "Can states bill insurers for early childhood intervention services? - CORRECT ANSWER Yes, some states may bill insurers." "What is the purpose of early childhood intervention? - CORRECT ANSWER To provide services and support for children with developmental delays or disabilities." "What is the goal of prevention? - CORRECT ANSWER To reduce the occurrence or impact of mental health issues." "What are school-based health centers (SBHC)? - CORRECT ANSWER On-site health care centers in schools." "What services do SBHCs provide? - CORRECT ANSWER Screening for mental health disorders, support for chronic conditions, medication monitoring, IEP assistance." "Who can SBHCs provide services to? - CORRECT ANSWER Students, school staff, student family members, community members." "When is telehealth used? - CORRECT ANSWER When in-person services are not necessary or available." "What chronic conditions are supported in SBHCs? - CORRECT ANSWER ADHD, anxiety, autism." "What assistance do SBHCs provide in creating individualized education plans? - CORRECT ANSWER IEP assistance as needed." "What is the purpose of telehealth? - CORRECT ANSWER To expand access to care." "What organization defines telehealth? - CORRECT ANSWER American Telemedicine Association." "What is the purpose of chat-based interactions in telehealth? - CORRECT ANSWER To transmit client data or diagnostic images for consultation." "What is the purpose of remote client monitoring in telehealth? - CORRECT ANSWER To collect and evaluate individual health data." "What is telehealth? - CORRECT ANSWER Remote delivery of healthcare services using technology." "What mental and behavioral health conditions can telehealth be effective for? - CORRECT ANSWER ADHD, oppositional defiant disorder, anxiety, depression, obsessive-compulsive disorder, and post-traumatic stress disorder." "What are digital health interventions (DHI)? - CORRECT ANSWER Websites, games, computer-assisted programs, apps, robots, digital devices, virtual reality, and mobile text messaging." "What is the potential benefit of telehealth and DHI? - CORRECT ANSWER Expanding access to mental health services for individuals in areas without face-to-face services." "How can telehealth help reduce barriers for clients and families? - CORRECT ANSWER By eliminating the need for transportation and allowing flexibility in scheduling appointments." "What is the potential benefit of telehealth for individuals in areas without face-to-face services? - CORRECT ANSWER Expanded access to mental health care services." "What are some barriers associated with the use of telehealth? - CORRECT ANSWER Regulations, licensing, insurance coverage, and client access to technology." "What are the recent trends in family well-being during the COVID-19 pandemic? - CORRECT ANSWER Increased stressors and demands of raising children." "What challenges do families of children with serious mental health conditions face? - CORRECT ANSWER Difficulty finding ongoing services as children reach adulthood." "What types of support and services do government programs offer? - CORRECT ANSWER Housing, job training, work accommodations, healthcare, education, and legal assistance." "What is Supplemental Security Income (SSI)? - CORRECT ANSWER Monthly benefits for people with limited income or resources." "Who may qualify for SSI benefits? - CORRECT ANSWER Children with certain mental health disorders and limited means." "What additional assistance may be available through the SSI application? - CORRECT ANSWER Food assistance in some states." "What approach is needed to support the mental health of children and youth? - CORRECT ANSWER Collaborative and integrated services using a multidisciplinary approach." "Who should be involved in the multidisciplinary approach to supporting mental health? - CORRECT ANSWER Youth, families, educators, healthcare professionals, community organizations, governments, and policy advocates." "What is the burden of mental health disorders? - CORRECT ANSWER The impact and challenges posed by mental health conditions." "How has the COVID-19 pandemic affected family well-being? - CORRECT ANSWER Increased stressors and demands of raising children."