EXAM 3 LO

Question 1

T/F

Genetic, biologic, and environmental risk factors all influence the incidence of mental illness.

Answer 1

true

Genetic, biologic, and environmental risk factors all influence the incidence of mental illness.
Early intervention can minimize the morbidity associated with mental illness

the severe mental disorders associated
with poor self-care can lead to worse
health outcomes and higher mortality
rates.

Question 2

What is mental health?

Answer 2

No universally accepted definition of mental health; for practical purposes, widely accepted parameters
for what behaviors connote psychopathology must be used to measure

Question 3

The projected lifetime risk of developing a major mental
illness is highest in countries where the population is subject
to ______

Answer 3

sustained violence

Question 4

T/F
Public health initiatives to educate communities about mental health can be effective in lowering the
incidence of high risk behaviors such as alcoholism

Answer 4

false

Public health initiatives to educate communities about mental health can be effective in
lowering the incidence of high risk behaviors such as suicide.‐

Question 5

T/F
The continuum of care for the chronically mentally ill includes community services, such as supportive
housing and employment.

Answer 5

True

Question 6

What % of the world is schizophrenic?

Answer 6

1%

Question 7

What category does schizo fall under?

Answer 7

thought

Question 8

early intervention programs

Answer 8

specialized teams of professionals whose primary goal is to maintain the individuals current level of education and vocational functioning through early treatment

Question 9

what populations are at high risk for mental illness

Answer 9

unemployed, the poor, and the homeless

Question 10

T/F
Public health initiatives to educate communities about mental health can be effective in lowering the
incidence of high risk behaviors such as alcoholism.‐

Answer 10

False

suicide

Question 11

legislation for parity in mental health insurance benefits

Answer 11

A law passed in 2008, the Paul Wellstone and Pete
Domenici Mental Health Parity and Addiction Equity Act
(also known as the mental health parity law or federal
parity law) requires coverage of services for mental
health, behavioral health and substance-use disorders to
be comparable to physical health coverage. Yet many
people still aren’t aware that the law exists or how it
affects them. In fact, a 2014 APA survey found that more
than 90 percent of Americans were unfamiliar with the
mental health parity law.

Question 12

21.2 Levels of prevention in community mental health

Answer 12

Primary:

• Educate families and community groups about mental health issues, symptoms of stress, and barriers to seeking help
• Foster availability of support services for community groups, such as prenatal and parent education sessions, bereavement sessions, and caregiver support

Secondary:

• Screen for mental health disorders
• Refer high-risk people for diagnostic services
• Provide mental health services following stressful community events

Tertiary

• Promote support groups for people with mental health disorders
• Initiate health promotion activities as a part of rehabilitation services.

Question 13

Specialized practice of professional nursing that advances the well being, academic success, and lifelong‐
achievement of students

Answer 13

School health nursing

Question 14

T/F

Early Periodic Screening, Diagnosis, and Treatment (EPSDT)—program mandated by a state law passed in
1969, which required that children and adolescents younger than 21 years of age have access to the
periodic screenings in several states

Answer 14

False

Federal law

Question 15

Wide ranging federal legislation enacted in 1990 that is intended to make American society more‐
accessible to people with disabilities

Answer 15

Americans with disabilities ACT (ADA)

Question 16

Program mandated by a federal law passed in 1969, which required that children and adolescents younger
than 21 years of age have access to the periodic screenings

Answer 16

Early periodic screening, diagnosis, and treatment (EPSDT)

Question 17

The future of school nursing is providing a prevention framework that links the community and the
school

Collaborative design that uses the resources of a community to provide structured preventive services
such as after school programs, parent outreach, and crisis intervention‐

Answer 17

Whole school, whole community, whole child model (WSCC)

Question 18

A specialty practice of nursing having registered nurses contribute to the health and wholeness of
people in the context of a faith community

ministry staff of the congregation and serves the illness needs of
individual people, families, and the entire faith community

Answer 18

Parish nursing

Question 19

Models of faith community practice

Answer 19

Based in congregation: paid or volunteer based in congregation

Based in health system: paid or volunteer affiliated with health system

Question 20

monitors six categories of health-related behaviors that contribute to the leading causes of death and disability among youth and adults

Answer 20

The Youth Risk Behavior Surveillance System (YRBSS)

Question 21

Typical school health screenings

Answer 21

Immunization Screening
Vision Screening
Hearing Screening
Postural Screening
Body Mass Index Screening

Question 22

focuses on how schools can promote physical activity, healthy eating, and adoption of a tobacco-free lifestyle, and a wide range of safety-related behaviors in an attempt to counter common risk behaviors (CDC, 2014

Answer 22

School health index

Question 23

Categories of YRBSS

Answer 23

• Behaviors that contribute to unintentional injuries and violence
• Sexual behaviors related to unintended pregnancy and sexually transmitted diseases, including HIV infection
• Alcohol and other drug use
• Tobacco use
• Unhealthy dietary behaviors
• Inadequate physical activity

Question 24

Who began parish nursing?

Answer 24

Granger Westburg

Question 25

Care of the human spirit that may include dealing with the meaning of health, illness or loss, and
relationships with God and others, and that has the goal of peace

Answer 25

Spiritual care

Question 26

The faith community nurse serving a health system with assignment to particular congregational settings; in this model, the parish or faith based nurse serves as liaison and‐
helps plan and coordinate care, particularly at times of transition.

Answer 26

Institution based model

Question 27

faith based
nurse serves a particular faith community by virtue of a contract or job description; it
supports the concept of faith based nurse who can be paid or serve as a volunteer.

Answer 27

Congregation-based model

Question 28

Documents signed by a person indicating his or her choice or wishes for medical treatment or naming of another to make choices if the person is unable to do so.

Answer 28

Advance directives

Question 29

A period of time or state of mind where feelings of loss, grief, or mourning are experienced by the survivor after the death of a loved one.

Answer 29

Bereavment

Question 30

A plan of care that specifies nursing interventions designed not to treat disease but to improve pain, function, or quality of life.

Answer 30

Comfort measures only

Question 31

A person designated to make healthcare decisions for another in the event that he or she is unable to make such decisions because of illness or disability.

Answer 31

Healthcare proxy

Question 32

Interdisciplinary team-based care for persons and family members experiencing life-threatening illness or injury that addresses their physical, emotional, social, and spiritual needs.

Answer 32

Palliative care

Question 33

The future and growth
of palliative care will
be largely determined
by its acceptance with
the medical
model.....The focus
includes the following:

Answer 33

Controlling symptoms

Coordinating care

Reducing unnecessary tests and futile interventions

Ongoing conversations with the client and family

Question 34

Support and care for persons in the last phase of an incurable disease so that they may live as fully and
comfortably as possible

Answer 34

Hospice care

Question 35

intermittent episodes of moderate to severe pain that occur in spite of control of baseline continuous pain

Answer 35

Breakthrough pain

Question 36

emotion felt after the loss

Answer 36

grief

Question 37

recovery from the loss

Answer 37

mourning

Question 38

recovery from the loss

Answer 38

mourning

Question 39

The federal agency that sets exposure

standards and is responsible for enforcement of safety and health legislation

Answer 39

Occupational safety and health administration (OSHA)

Question 40

the federal agency established to help ensure safe and healthy
working conditions by conducting scientific research, gathering information, and providing education and
training in occupational safety and health

Answer 40

National Institute of Occupational Safety and Health (NIOSH)

Question 41

Professional association of nurses working in a business setting, dedicated to the health and safety of
workers, worker populations, and community groups

Answer 41

American association of occupational health nurses (AAOHN)

Question 42

The primary responsibility of them is that of injury prevention and health promotion, including recognition
of conditions that may harm the individual worker or the community.

Answer 42

Occupational health nursing (OHN)

Question 43

The model presents an outer circle that represents the total global concept, covering all aspects of health and safety affecting the worker population in the general environment. Extending out from the center (occupational health nursing) are the social, political, ecologic, organizational, and economic factors that influence the global environment. The man-work-health triangle indicates that the total environment can have a significant effect on workplace health. Political and social policies, for example, either expand or contract the development of occupational health.

Answer 43

Hanasaari Model (OHN)