Care of the Mentally Ill
Community Health Nursing
Levels of Prevention
Treatment Alternatives
Cultural Competence in Mental Health Nursing
100

The evaluation of the patient for conditions before they are known to be clinically significant. The purpose of this task is early diagnosis and treatment of illness

What is screening?

100

The concepts of primary, secondary, and tertiary prevention are the basis for this model

What is the public health model?

100

This level of prevention involves interventions aimed at identification of problems and prompt initiation of effective treatment

What is secondary prevention? 

100

The goal of this outpatient facility is to improve coping abilities and prevent exacerbation of acute symptoms. 

What are community mental health centers? 

100

The action of assuming that all individuals who share a culture or ethnic group are the same.

What is stereotyping?

200

This evidenced-based screening tool is used to quickly assess the severity of substance abuse and identifies the appropriate level of treatment. 

What is SBIRT? 

200

To understand the health status of a community, these forms of data are collected

Biological & Emotional

200

Nursing in this level of prevention is focused on targeting groups at risk and provision of educational programs

What is primary prevention?

200

This collaborative practice facilitates communication and care coordination along a continuum through effective transitional care management. It is a job that can be performed by an RN or social worker.

What is case management? 

200

The ability of  an individual to understand and respect values, attitudes, beliefs, and mores that differ across cultures

What is cultural competence?

300

This is considered a barrier to effective mental health treatment in primary care, emergency departments, and medical-surgical settings. 

What is stigmatization? 

300

Some of the goals of the New Freedom Commission on Mental Health are: (select all that apply)

A. Understand that mental health is essential to overall health

B. That mental health care would be driven by government and authorities

C. For disparities in mental health services to be eliminated

A & C

300

This level of prevention is accomplished through preventing complications of illness and promoting rehabilitation

What is tertiary prevention? 

300

This is a team-based treatment approach provides multidisciplinary, flexible treatment and support to people with mental illness 24/7. 

What is Assertive Community Treatment (ACT)? 

300

This spiritual assessment tool is utilized to assess a patient's spiritual and/or religious needs

What is FICA? (Faith, Importance, Church, Apply/Address)

400

This phenomenon is when a person's physical symptoms are attributed to his or her mental illness. 

What is diagnostic overshadowing? 

400

Name at least two community resources for the homeless

What are homeless shelters?

What are storefront clinics?

What are mobile outreach units?

400

Nursing students who teach concepts of mental health to various groups within the community are demonstrating this level of prevention

What is primary prevention? 

400

These types of programs are designed to prevent institutionalization or ease the transition from inpatient hospitalization to community living. 

What are Partial Hospitalization Programs? 

400
Aim of nursing interventions for patients who have spiritual and/or religious needs

What is helping patients achieve meaning and purpose in life?

500

This aspect of stigma refers to the tendency of health-care workers and others to avoid people with mental illness or addiction

Social distancing

500

List at least three trends or barriers that impact community mental health care

What is stigma? What is lack of education? What is polypharmacology? What is re-institutionalization? What is poverty? What is homelessness? What are stalled resources?

500

The RN who works in this level of prevention states "I monitor the effectiveness of aftercare services through home health visits"

What is tertiary prevention? 

500

This treatment alternative/location is for patients with severe and persistent mental illness. They are also known as group homes, halfway houses, transitional housing, boarding homes, etc.

What are Community Residential Facilities? 

500
A patient has just been diagnosed with terminal cancer and has been told they have less than six months to live. The patient states "I have always gone to church! How could God do this to me?". The nurse knows an appropriate nursing diagnosis for this patient is...

What is spiritual distress?

What is impaired religiosity?