Chapter 21 Community Mental Health
Origin: Chapter 21- Community Mental Health, 1
1. Primary, secondary, and tertiary levels of prevention help reduce risk, identify and limit
disabilities, and reduce complications of mental health problems. Which exemplifies a
tertiary prevention strategy for mental health problems?
A) Screen for mental health disorders
B) Refer high-risk people for diagnostic services
C) Provide mental health services following stressful community events
D) Promote support groups for people with mental health disorders
Ans: D
Feedback:
Tertiary prevention strategies include promoting support groups for people with mental
health disorders and initiating health-promotion activities as a part of rehabilitation
services. Secondary strategies include screening for mental health disorders, referring
high-risk people for diagnostic services, and providing mental health services following
stressful community events.
Origin: Chapter 21- Community Mental Health, 2
2. Primary, secondary, and tertiary levels of prevention help reduce risk, identify and limit
disabilities, and reduce complications of mental health problems. Which exmplifies a
primary prevention strategy for mental health problems?
A) Educate families and community groups about mental health issues, symptoms of
stress, and barriers to seeking help
B) Screen for mental health disorders
C) Promote support groups for people with mental health disorders
D) Initiate health-promotion activities as a part of rehabilitation services
Ans: A
Feedback:
Primary prevention strategies include educating families and community groups about
mental health issues, symptoms of stress, and barriers to seeking help. Secondary
,strategies include screening for mental health disorders. Tertiary strategies include
promoting support groups for people with mental health disorders and initiating
health-promotion activities as a part of rehabilitation services.
, Origin: Chapter 21- Community Mental Health, 3
3. The nurse assesses a client who recently immigrated to the United States from Haiti.
The client reports upset stomach and diarrhea. He explains that a witch doctor put a
curse on him and that he sometimes sees evil spirits around him. The most accurate way
to describe this type of illness would be as a:
A) Mental illness
B) Gastrointestinal disorder
C) Culture-bound syndrome
D) Hypochondria
Ans: C
Feedback:
Mental health and, conversely, mental illness are concepts bound by culture.
Understanding of what connotes mental health is shaped by social norms that evolve
from generation to generation. In Western cultures, medical science interprets any
deviation from normative function of the five senses as indicative of a psychotic
disorder. Hearing a voice, claiming to see an object, or having certain tactile sensations
is viewed as a pathological state to be treated by psychiatric professionals. In some parts
of the world, spiritual possession and belief in healers with special powers are
culture-bound syndromes. Although gastrointestinal symptoms are involved in this
client's condition, he suffers from more than just a gastrointestinal disorder.
Hypochondria, or a condition in which one imagines that he or she has an illness but
really does not, would not be applicable because the client has real symptoms and
comes from a culture in which his illness is acknowledged as such.
Origin: Chapter 21- Community Mental Health, 4
4. Which mental illness is most likely to go untreated?
A) Anxiety
B) Bipolar disorder
C) Depression
D) Alcoholism
Origin: Chapter 21- Community Mental Health, 1
1. Primary, secondary, and tertiary levels of prevention help reduce risk, identify and limit
disabilities, and reduce complications of mental health problems. Which exemplifies a
tertiary prevention strategy for mental health problems?
A) Screen for mental health disorders
B) Refer high-risk people for diagnostic services
C) Provide mental health services following stressful community events
D) Promote support groups for people with mental health disorders
Ans: D
Feedback:
Tertiary prevention strategies include promoting support groups for people with mental
health disorders and initiating health-promotion activities as a part of rehabilitation
services. Secondary strategies include screening for mental health disorders, referring
high-risk people for diagnostic services, and providing mental health services following
stressful community events.
Origin: Chapter 21- Community Mental Health, 2
2. Primary, secondary, and tertiary levels of prevention help reduce risk, identify and limit
disabilities, and reduce complications of mental health problems. Which exmplifies a
primary prevention strategy for mental health problems?
A) Educate families and community groups about mental health issues, symptoms of
stress, and barriers to seeking help
B) Screen for mental health disorders
C) Promote support groups for people with mental health disorders
D) Initiate health-promotion activities as a part of rehabilitation services
Ans: A
Feedback:
Primary prevention strategies include educating families and community groups about
mental health issues, symptoms of stress, and barriers to seeking help. Secondary
,strategies include screening for mental health disorders. Tertiary strategies include
promoting support groups for people with mental health disorders and initiating
health-promotion activities as a part of rehabilitation services.
, Origin: Chapter 21- Community Mental Health, 3
3. The nurse assesses a client who recently immigrated to the United States from Haiti.
The client reports upset stomach and diarrhea. He explains that a witch doctor put a
curse on him and that he sometimes sees evil spirits around him. The most accurate way
to describe this type of illness would be as a:
A) Mental illness
B) Gastrointestinal disorder
C) Culture-bound syndrome
D) Hypochondria
Ans: C
Feedback:
Mental health and, conversely, mental illness are concepts bound by culture.
Understanding of what connotes mental health is shaped by social norms that evolve
from generation to generation. In Western cultures, medical science interprets any
deviation from normative function of the five senses as indicative of a psychotic
disorder. Hearing a voice, claiming to see an object, or having certain tactile sensations
is viewed as a pathological state to be treated by psychiatric professionals. In some parts
of the world, spiritual possession and belief in healers with special powers are
culture-bound syndromes. Although gastrointestinal symptoms are involved in this
client's condition, he suffers from more than just a gastrointestinal disorder.
Hypochondria, or a condition in which one imagines that he or she has an illness but
really does not, would not be applicable because the client has real symptoms and
comes from a culture in which his illness is acknowledged as such.
Origin: Chapter 21- Community Mental Health, 4
4. Which mental illness is most likely to go untreated?
A) Anxiety
B) Bipolar disorder
C) Depression
D) Alcoholism
