Chapter 35. 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
, 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
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
, 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
