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. The cortico-striato-thalamo-cortical circuit (CSTC) is primarily associated with obsessive-compulsive disorder (OCD) and does not directly relate to phobias.

B. While the CSTC circuit is involved in OCD, it is not specifically linked to the broader spectrum of fear responses.

C. The amygdala-centered (ACC) circuit is involved in the processing of fear and panic, making it directly associated with feelings of panic, which are common manifestations of anxiety disorders.

D. The amygdala does play a role in anxiety and apprehension, but it is more specifically tied to the acute panic responses.

A. Biologically male clients are typically diagnosed earlier than biologically female clients. B. Biologically female clients are likely to be diagnosed earlier than biologically born males. C. Diagnosis commonly occurs in individuals under the age of 12. D. People diagnosed with schizophrenia are more violent than others.

Correct Answer is A

Explanation

Rationale:

A. Schizophrenia is typically diagnosed earlier in males compared to females, with onset often occurring in late adolescence to early adulthood.

B. Biologically female clients are generally diagnosed later in life compared to males.

C. Schizophrenia is rarely diagnosed in individuals under the age of 12; it commonly presents in late adolescence or early adulthood.

D. People with schizophrenia are not necessarily more violent than others; rather, violence is not a defining characteristic of the disorder.

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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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