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 A

Explanation

Rationale:

A. Taking bronchodilators before meals can help improve breathing, which is essential for eating comfortably, so it is better to take them before meals rather than after.

B. Resting before eating helps conserve energy and can make eating easier for individuals with COPD.

C. Eating small, frequent meals is beneficial for managing COPD because it prevents large meals that can lead to respiratory discomfort.

D. Choosing non-gas-forming foods can help reduce abdominal distention and discomfort during meals for individuals with COPD.

A. Platelets 150,000/mm B. Positive Western blot test C. WBC 5,000/mm3 D. CD4-T-cell count 180 cells/mm3

Correct Answer is D

Explanation

Rationale:

A. Platelets at 150,000/mm3 are within the lower range of normal but not immediately concerning.

B. A positive Western blot test is confirmatory for HIV but is not an immediate concern compared to other lab values.

C. A WBC count of 5,000/mm3 is within normal limits and not a primary concern for an HIV-positive client.

D. A CD4-T-cell count of 180 cells/mm3 indicates advanced immunosuppression, which is critical to monitor in HIV-positive clients to assess the progression of the disease and the risk for opportunistic infections.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has chronic obstructive pulmonary disease about ways to facilitate eating. Which of the following statements indicates a need for further teaching?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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