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A client states they have been compliant with antidepressant therapy, but "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.)

Support systems

Physical health

Mental health support

Alcohol consumption

Feelings of self-worth

Family history

Access to lethal means

Answer and Explanation

Correct Answer : A,B,C,E,F,G

Choice A reason: Support systems are crucial for emotional and practical support, especially when dealing with mental health issues.

Choice B reason: Physical health can significantly impact mental health, and vice versa; it's important to consider the client's overall well-being.

Choice C reason: Mental health support, such as therapy or support groups, is essential for someone struggling with the effectiveness of their medication.

Choice D reason: While alcohol consumption can affect mental health, it is not mentioned in the client's statement and therefore cannot be assumed.

Choice E reason: Feelings of self-worth are directly related to mental health and can influence the client's perspective on their value and the burden they perceive themselves to be to others.

Choice F reason: Family history can provide insight into potential hereditary patterns of mental health issues and the client's support network.

Choice G reason: Access to lethal means is a critical safety concern, especially for clients expressing feelings of worthlessness or experiencing severe depression.

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Correct Answer is ["A","B","C","E"]

Explanation

Choice A reason: Increasing exercise and taking regular walks can significantly improve mental and emotional health, indicating the client has understood the education provided.

Choice B reason: Setting a regular bedtime and ensuring adequate sleep are essential for mental health, reflecting the effectiveness of the education.

Choice C reason: Improving nutritional intake and avoiding junk food are positive steps towards better mental health, showing the client's understanding.

Choice D reason: Regular follow-ups with a healthcare provider are good practice but not directly related to the immediate improvement of mental and emotional health.

Choice E reason: Adherence to medication, especially for chronic conditions like diabetes, is crucial for overall health, which can influence mental and emotional well-being.

A. "Weight gain is a common but troubling side effect." B. "What have you been eating? Weight gain is not usually associated with lithium." C. "Weight gain occurs only during the first month of treatment with this drug." D. "That's strange. Weight loss is the typical pattern."

Correct Answer is A

Explanation

Choice A reason: Weight gain is indeed a known side effect of lithium treatment, and acknowledging this can validate the client's experience.

Choice B reason: This response could be perceived as blaming and does not acknowledge that weight gain can be a side effect of lithium.

Choice C reason: This statement is misleading as weight gain can occur beyond the first month of treatment with lithium.

Choice D reason: This statement is incorrect as weight loss is not the typical pattern associated with lithium; weight gain is more common.

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Naxlex Comprehensive Predictor Exams

The nurse is providing education for a client to improve mental and emotional health and influence the client's response to illness. Which statement made by the client indicates that the education is effective? (Select all that apply.)

Correct Answer is ["A","B","C","E"]

Explanation

A client began taking lithium for the treatment of bipolar disorder approximately one month ago. The client asks if it is normal to have gained 12 pounds in this time frame. Which is the appropriate nursing reply?

Correct Answer is A

Explanation

A nurse in an emergency department is assessing a client for suspected cocaine intoxication. Which of the following findings should the nurse expect?

Which is a psychosocial explanation for the development of personality disorders?

A college student has been diagnosed with Generalized Anxiety Disorder (GAD). Which of the following symptoms should a campus nurse expect this client to exhibit? (Select all that apply.)

A college student has been diagnosed with Generalized Anxiety Disorder (GAD). Which of the following symptoms should a campus nurse expect this client to exhibit? Select all that apply.

A nurse is working with clients diagnosed with personality disorders. Which techniques would be most important for the nurse to use to effectively deal with the frustration in providing care to this group of clients? Select all that apply.

What is Wernicke-Korsakoff syndrome?

The nurse has established a therapeutic relationship with a client. Which behaviors indicate that the client has entered into the identification phase of the nurse-client relationship?