Nokea
The initial step in providing effective mental health-focused public health services is:
- A. Securing adequate funding to support needed psychiatric services.
- B. Identifying key providers to assure the delivery of required services.
- C. Surveying the targeted community to identify needs of the high-risk groups.
- D. Recruiting community leaders to provide support for utilization of provided services.
Correct Answer: C
Rationale: The correct answer is C because surveying the targeted community helps identify specific mental health needs and high-risk groups. This information is crucial for tailoring services effectively. Securing funding (A) is important but comes after understanding community needs. Identifying key providers (B) is necessary but should follow community assessment. Recruiting leaders (D) is helpful but not as essential as understanding community needs. In summary, option C is correct as it lays the foundation for designing appropriate mental health services.
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Jenny reported to the high school nurse that her mother drinks too much. She is drunk every afternoon when Jenny gets home from school. Jenny is afraid to invite friends over because of her mother’s behavior. This type of crisis is called:
- A. Crisis resulting from traumatic stress
- B. Maturational/developmental crisis
- C. Dispositional crisis
- D. Crisis reflecting psychopathology
Correct Answer: C
Rationale: The correct answer is C: Dispositional crisis. This type of crisis arises from an external event or stressor that overwhelms an individual's usual coping mechanisms. In this case, Jenny's mother's alcoholism is causing distress and fear for Jenny, impacting her ability to function normally. A is incorrect because traumatic stress typically involves a singular event causing intense emotional response. B is incorrect as maturational crisis relates to normal life transitions. D is incorrect as crisis reflecting psychopathology involves mental health conditions as the primary cause of crisis.
----% have mild intellectual disability:
- A. 88
- B. 89
- C. 85
- D. 86
Correct Answer: C
Rationale: About 85% of those with intellectual disability have mild forms, manageable with support.
What benzodiazepines are commonly given to patients experiencing symptoms related to alcohol withdrawal?
- A. Valium
- B. Ativan
- C. Librium
- D. Sedation
Correct Answer: A
Rationale: Step-by-step rationale:
1. Valium (Diazepam) is commonly used in alcohol withdrawal due to its long-acting properties and effectiveness in managing symptoms.
2. Ativan (Lorazepam) is also used, but Valium is preferred for its longer duration of action.
3. Librium (Chlordiazepoxide) is another option with a long half-life, but Valium is more commonly used.
4. Sedation is not a benzodiazepine and does not directly address alcohol withdrawal symptoms.
In summary, Valium is preferred for alcohol withdrawal due to its long-acting properties, followed by Ativan and Librium. Sedation is not a benzodiazepine and does not treat alcohol withdrawal symptoms.
Which of the following is an effective way to address cultural issues about personal contact in a clinical care setting?
- A. Be considerate of the patient's requests not to be touched
- B. Attempt to accommodate the patient's requests whenever possible, while providing medically appropriate care
- C. Identify a chaperone and override the patient's requests in order to expedite their care
- D. Ask that a family member remain at the bedside at all times to oversee patient care
Correct Answer: B
Rationale: Accommodation balances cultural sensitivity with medical necessity.
Which of the following is not a reason adults often do not seek interventions for hearing loss?
- A. Cost of treatment
- B. One in four
- C. Perception that problem is not severe
- D. Availability of treatment
Correct Answer: B
Rationale: ‘One in four' is irrelevant; cost and perception are common barriers.