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. HIV infection can cause cognitive impairment, but it typically does not present with fluctuating cognition and visual hallucinations as primary symptoms.

B. Traumatic brain injury can lead to cognitive changes, but it is not typically associated with fluctuating cognition and visual hallucinations.

C. Lewy body disease is characterized by fluctuating cognition, visual hallucinations, and motor symptoms, making it the most likely diagnosis for these symptoms.

D. Prion disease is associated with rapidly progressive dementia but not specifically with fluctuating cognition and visual hallucinations.

A. Stage 2 (moderate) B. Stage 3 (severe) C. Stage 1 (mild) D. The client’s manifestations

Correct Answer is B

Explanation

Rationale:

A. Stage 2 (moderate) of alcohol withdrawal involves symptoms such as increased blood pressure and heart rate, mild confusion, and tremors, but does not typically include hallucinations or severe agitation.

B. Stage 3 (severe) alcohol withdrawal includes severe symptoms such as hallucinations (e.g., seeing spiders), severe agitation, and possible delirium tremens, which are consistent with the client's manifestations.

C. Stage 1 (mild) symptoms generally include mild anxiety and tremors but do not include hallucinations or significant changes in mental status.

D. The client’s manifestations indicate severe withdrawal symptoms, not just a general description.

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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 is experiencing fluctuating cognition and visual hallucinations. Which of the following types of dementia should the nurse expect this client to have?

Correct Answer is C

Explanation

Correct Answer is B

Explanation

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