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. Narrative therapy is a therapeutic approach that focuses on reshaping personal narratives and is not typically associated with increased risk of self-harm.

B. Dialectical behavior therapy (DBT) is specifically designed to help individuals with borderline personality disorder manage self-harm behaviors and emotional dysregulation, so it would generally reduce, not increase, risk.

C. The period following hospital discharge is often associated with a higher risk of self-harm due to potential lack of support, instability, or feelings of abandonment.

D. While significant life events such as getting married can be stressful, they are not typically associated with the highest risk of self-harm compared to the transitional phase post-discharge.

A. Poor concentration B. Voice tremors C. Shakiness D. Depersonalization

Correct Answer is D

Explanation

Rationale:

A. Poor concentration is common in anxiety but is not specific to panic-level anxiety.

B. Voice tremors can occur but are not as distinctive as depersonalization.

C. Shakiness can be a symptom but is not as defining as depersonalization.

D. Depersonalization is a common experience during panic-level anxiety, where the individual feels detached from themselves or their surroundings.

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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 discussing borderline personality disorder and the risk for self-harm with a newly licensed nurse. Which of the following situations should the nurse identify as the highest risk for self-harm?

Correct Answer is C

Explanation

A nurse on an inpatient mental health unit is caring for a client who is experiencing panic level anxiety. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is preparing for a home visit with a client whose partner recently died by suicide. Which of the following actions should the nurse take first when preparing to provide client-centered care?

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