A nurse in a mental health clinic is taking a medical history on a client. The nurse should recognize that which of the following factors in the client's history increases their risk for mental illness?
Being in a family with numerous siblings
Early exposure to violence
Being raised by a single mother
Living in a rural area
The Correct Answer is B
A. Being in a family with numerous siblings. While family dynamics can influence mental health, having multiple siblings does not inherently increase the risk for mental illness. Protective factors such as social support from siblings may actually be beneficial.
B. Early exposure to violence. Experiencing violence at a young age, such as abuse or witnessing traumatic events, can increase the risk for mental illness by altering stress responses, emotional regulation, and cognitive development.
C. Being raised by a single mother. While single-parent households may present challenges, they do not directly cause mental illness. Supportive parenting, economic stability, and social resources can mitigate potential stressors.
D. Living in a rural area. Although access to mental health care may be more limited in rural areas, residing in such an environment is not a direct risk factor for developing mental illness. Social support and lifestyle factors play a more significant role.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Tell the client that there is nothing there. Dismissing the client's perception may increase distress and reduce trust in the nurse-client relationship. A therapeutic approach acknowledges the client’s experience without reinforcing or denying hallucinations.
B. Ask the client to describe what is being seen. Encouraging the client to describe the hallucination helps assess its nature and severity. Understanding the content allows the nurse to provide appropriate support, ensure safety, and guide interventions.
C. Touch the client's arm reassuringly. Touching the client without consent, especially during a distressing hallucination, may escalate fear or agitation. Maintaining a calm and non-threatening presence is more appropriate.
D. Remove the client from the room. Relocating the client without assessing the hallucination may not address the underlying distress. Identifying triggers and using therapeutic communication are more effective initial interventions.
Correct Answer is ["C","D","E"]
Explanation
A. Nylon socks. Nylon socks do not pose a significant risk for self-harm and can be safely kept with the client. They are not considered a ligature risk or a hazardous object.
B. Cotton underwear. Cotton underwear is not a safety concern in a mental health unit. It does not present a strangulation risk or any other immediate danger.
C. Lace-up tennis shoes. Lace-up shoes contain long laces that could be used as a ligature, posing a strangulation risk. Clients in a mental health unit are typically provided with slip-on or Velcro shoes to enhance safety.
D. Glass-framed picture of the client's partner. A glass frame poses a significant risk as it can be broken and used as a sharp object for self-harm. The nurse should ask the partner to take it home or provide a safer alternative, such as a laminated photo.
E. Necklace. A necklace can be used for strangulation, making it unsafe for a client at risk of self-harm. Removing items that could be used for ligature or harm is essential in suicide prevention.
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