A nurse is assessing a client who has a mental illness. Which of the following factors are important when assessing social determinants of mental health? (Select all that apply)

Living in a homeless shelter

Access to a grocery store

Employed part-time at minimum wage

History of diabetes mellitus

Owning a small dog

Answer and Explanation

Correct Answer : A,B,C

Rationale:

A. Living in a homeless shelter is a significant social determinant that can impact mental health due to instability, lack of privacy, and increased stressors.

B. Access to a grocery store is important because food insecurity and lack of access to nutritious food can negatively affect mental and physical health.

C. Being employed part-time at minimum wage can contribute to financial stress, impacting mental health due to economic instability and potential lack of access to healthcare.

D. While a history of diabetes mellitus is relevant to overall health, it is not a direct social determinant of mental health.

E. Owning a small dog may have a positive impact on mental health due to companionship but is not a primary social determinant in this context.

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Correct Answer is C

Explanation

Rationale:

A. Observing the final 2 minutes is not sufficient for detecting acute transfusion reactions, which can occur at any time during the transfusion.

B. Observing the final 15 minutes is also not adequate; reactions can occur earlier.

C. The first 15 minutes is the most critical time for observing for transfusion reactions, as most reactions occur during this period.

D. The first 2 minutes are too brief to detect potential transfusion reactions, which typically manifest within the first 15 minutes.

A. Narcissistic personality disorder B. Antisocial personality disorder C. Histrionic personality disorder D. Borderline personality disorder

Correct Answer is B

Explanation

Rationale:

A. Narcissistic personality disorder involves a grandiose sense of self-importance and a need for admiration, but it is not typically associated with aggressive behavior in public settings.

B. Antisocial personality disorder is characterized by a disregard for the rights of others, impulsivity, and aggressive behavior. Clients with this disorder may engage in unlawful activities and show no remorse for their actions, making this the most likely diagnosis for the client described.

C. Histrionic personality disorder involves attention-seeking behavior and emotionality, but it does not typically manifest in aggressive outbursts.

D. Borderline personality disorder involves instability in relationships, self-image, and emotions, and while it may include impulsivity, it is not primarily associated with aggressive behavior in public settings.

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A nurse is assessing a client who has a mental illness. Which of the following factors are important when assessing social determinants of mental health? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a prescription for one unit of packed RBCs. The nurse should plan to remain in the room with the client at which of the following times during the infusion to observe for a transfusion reaction?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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