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 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.

A. Harvard Implicit Association Test (IAT) B. PHQ-9 C. Altman Self-Rating Mania Scale D. SAD PERSONS E. SAFE-T

Correct Answer is ["B","D","E"]

Explanation

Rationale:

A. The Harvard Implicit Association Test (IAT) measures implicit biases and is not used specifically for assessing suicide risk.

B. The PHQ-9 (Patient Health Questionnaire-9) is a validated tool for screening, diagnosing, monitoring, and measuring the severity of depression, which is closely related to suicide risk.

C. The Altman Self-Rating Mania Scale is used to assess the severity of manic symptoms in clients with bipolar disorder, not for suicide risk assessment.

D. The SAD PERSONS scale is a tool specifically designed to assess suicide risk based on key risk factors.

E. The SAFE-T (Suicide Assessment Five-Step Evaluation and Triage) is a comprehensive framework for assessing suicide risk, making it an appropriate tool to include in suicide risk assessments.

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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

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Correct Answer is D

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Correct Answer is ["B","D","E"]

Explanation

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