Community Mental Health Nursing and Abuse

Question 1

What was the deinstitutionalization movement

Answer 1

Closing of state mental health hospitals and the release of individuals suffering from mental illness

Question 2

What is the community mental health centers act

Answer 2

Construction of mental health centers with funding to be supplied by state and federal governments

Question 3

Ex of outpatient facilities

Answer 3

Partial hospitzalization
Intensive OP programs
After care programs

Question 4

Purpose of the New Freedom Commission on mental health

Answer 4

Eliminate inequalities for Americans suffering from disabilities and mental health illness

Question 5

What is the public health model

Answer 5

Takes a population approach to health promotion and disease prevention

Question 6

What is primary prevention

Answer 6

targets both the individuals and the environment by Assisting individuals to improve their ability to cope effectively with stressors and targeting and diminishing harmful stressors within the client’s environment.

Question 7

what does primary prevention look like

Answer 7

Teaching physical and psychological effects of drugs and alcohol to elementary students
Teaching groups of individuals ways to cope with changes associated with various maladaptive behaviors
Providing education and support to unemployed or homeless individuals.

Question 8

Where are primary prevention services offered

Answer 8

Health fairs, Community shelters, Civic or social organizational groups, Community centers such as the YMCA.

Question 9

What is secondary prevention

Answer 9

early identification of problems and prompt initiation of effective treatment. This stage focuses on symptoms and provisions of or referral for treatment. Screening stage.

Question 10

Care provided for someone at secondary prevention

Answer 10

Medication, counseling, therapy, community health clinics, home health nursing/visits.

Question 11

Referrals of treatment regarding secondary prevention

Answer 11

Community mental health clinics and centers, support groups, emergency services, psychiatrists, psychologist

Question 12

What is tertiary prevention

Answer 12

Services aimed at reducing the residual challenges associated with chronic illness.

Question 13

Purpose of the nurse regarding tertiary prevention

Answer 13

help the client with their coping skills so they can achieve a level of functionality that is acceptable to them.

Question 14

Ex of tertiary prevention

Answer 14

daily living skills and encouraging independence, after care services, referrals for support services

Question 15

Populations at risk: adolescence

Answer 15

risk associated with making the transitions from teenager to young adult.

Question 16

Populations at risk: marriage

Answer 16

risk factors associated with building a relationship, new living arrangement, finances, communication, conflict associated with unrealistic or uninformed expectations.

Question 17

Populations at risk parenthood

Answer 17

Because the family operates as a unit, a new edition can influence all parts of the system as a whole. Risk factors could be related to finances, parenting skills, adjustment to new baby or existing children (blended family), freedom to do things.

Question 18

Populations at risk: Midlife

Answer 18

Most people go through some form of midlife crisis with acceptance. However, some individuals don’t adjust well have an increased risk of depression and anxiety.

Question 19

What is midlife

Answer 19

Alteration in the perception of the self
Alteration in perception of others
An alteration in perception of time

Question 20

Populations at risk: Retirement

Answer 20

Many individuals look forward for retirement, however for others they are at an increased for risk depression and anxiety r.t

Question 21

What is Situational Crises

Answer 21

Acute responses that occur because of external circumstantial stressors.

Question 22

Situational Crises: poverty

Answer 22

Living arrangements, poor nutrition, poor health care, inadequate finances

Question 23

Situational crisis: Higher rate of life changes

Answer 23

This is when an individual has to deal with a high number of changes in a short amount of time. The individual will experience a decrease ability to handle the stress associated with these events.

Question 24

Ex. of higher rate of life changes

Answer 24

Death of a loved one, divorce, being fired from a job, Being passed up for a promotion

Question 25

Situational crisis: environmental conditions

Answer 25

Are created by environmental situations crisis such as floods, tornadoes, hurricanes, earthquakes.

Question 26

Situational Crisis: trauma

Answer 26

Individuals who experience trauma have a considerable higher risk for emotional and physical illness

Question 27

Ex. of trauma

Answer 27

stomach issues, headaches, PTSD, GI upset, depression, anxiety, panic attacks.

Question 28

What is child abuse

Answer 28

abuse to children that includes physical, sexual, psychological maltreatment and neglect

Question 29

What is elder abuse

Answer 29

individual over the age of 60 living at home are experiencing some of form of sexual, physical, psychological and/or financial abuse.

Question 30

What is intimate partner violence

Answer 30

AKA domestic violence
Abuse or aggression that occurs in a romantic relationship and can involve current or ex partners.

Question 31

Why do victims of intimate partner violence stay

Answer 31

Most common fear of harm to self or children
Financial
Way of life
Fear of losing children
Religious reason (divorce not an option)

Question 32

Profile of a victim of intimate partner violence

Answer 32

Low self-esteem and represent stereotypical role of a woman
Isolated
Grow up in abusive families
Experience learned hopelessness

Question 33

Nursing interventions for abuse

Answer 33

Report suspected or actual abuse
Reassure victim they are safe
Explain assessment process (forensic nurse)
Protect evidence for criminal investigation (forensic nurse).
Crisis intervention
Referrals for family and individual counseling