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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E","F"]
Explanation
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.
Correct Answer is D
Explanation
Choice A reason: A decreased display of emotions, or blunted affect, is common in dementia as the illness affects the brain areas responsible for emotion regulation.
Choice B reason: While personality changes can occur, they do not typically present as complete opposites of original traits.
Choice C reason: Decreased auditory and visual acuity can be part of the cognitive decline associated with dementia.
Choice D reason: Forgetfulness that progresses to disorientation is a hallmark of dementia, reflecting the deterioration of cognitive functions over time.
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