A client has been compliant with antidepressant therapy but states, "The meds don't seem to be working anymore." They have no immediate family in the vicinity and are estranged from siblings, saying, "They got over me a long time ago." The client acknowledges having a few friends but expresses, "I don't want to burden them with my stuff. I'm not worth that." Which factors should the nurse consider when evaluating the client's support systems? (Select all that apply.)
Physical health
Mental health support
Alcohol consumption
Feelings of self-worth
Family history
Access to lethal means
Correct Answer : B,D,E,F
Choice A reason: Physical health is a critical component of overall well-being and can affect mental health recovery.
Choice B reason: Mental health support, including therapy and support groups, is essential for managing depression and preventing relapse.
Choice C reason: Alcohol consumption can interfere with antidepressant efficacy and may worsen depression symptoms.
Choice D reason: Feelings of self-worth are often impacted in depression and can influence the client's motivation and engagement in treatment.
Choice E reason: Family history may provide insights into genetic predispositions and patterns that could affect the client's mental health.
Choice F reason: Access to lethal means is a significant risk factor for suicide and must be addressed in the safety planning for clients with depression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Restricting sodium intake is not necessary with lithium carbonate, and maintaining a consistent sodium level is important to prevent lithium toxicity.
Choice B reason: Drinking excessive fluids can dilute lithium levels in the blood, potentially leading to subtherapeutic levels and reduced efficacy of the medication.
Choice C reason: Taking medications with food can help with absorption and minimize gastrointestinal side effects, but it is not specific to lithium carbonate.
Choice D reason: Having blood drawn on schedule is important for monitoring lithium levels and ensuring safe treatment.
Correct Answer is C
Explanation
Choice A reason: Informing a therapist about suicidal thoughts is a positive step and indicates good understanding.
Choice B reason: Recognizing the family as a support system shows appropriate understanding of social support in managing somatization disorder.
Choice C reason: This statement indicates a misunderstanding, as caffeine may temporarily alleviate fatigue but does not address the underlying issues of somatization disorder.
Choice D reason: Understanding the need to stop smoking due to its effects on the heart is a correct understanding of managing physical symptoms.
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