A nurse is caring for a client in an outpatient clinic.

Exhibits

Select the 3 interventions the nurse should plan to take.

Encourage the client to think positive thoughts.

Assist the client in distinguishing between anxiety and physical manifestations.

Provide relief measures for manifestations the client is experiencing.

Inform the client that nothing is medically wrong with them.

Suggest to the client's provider that multiple tests need to be performed.

Perform a lengthy exam of client's condition.

Answer and Explanation

Correct Answer : B,C,E

A. Encourage the client to think positive thoughts. While promoting positive thinking can be helpful, this approach may oversimplify the client's experience and does not address their anxiety or physical symptoms effectively.
B. Assist the client in distinguishing between anxiety and physical manifestations. This intervention is crucial as it helps the client understand the connection between their anxiety and physical symptoms. It can empower the client to better manage their feelings and reduce their fixation on health issues.
C. Provide relief measures for manifestations the client is experiencing. Addressing the client's physical symptoms, such as anxiety and stomach discomfort, is important for their overall well-being and can improve their quality of life.
D. Inform the client that nothing is medically wrong with them. This statement may dismiss the client's concerns and could lead to feelings of frustration or invalidation. It is important to listen to the client’s experiences without minimizing them.
E. Suggest to the client's provider that multiple tests need to be performed. Given the client's report of ongoing symptoms and concerns about their health, it is appropriate to recommend further evaluation to rule out any underlying medical issues. This ensures that the client feels heard and their concerns are taken seriously.
F. Perform a lengthy exam of the client's condition. Conducting a lengthy exam may not be necessary at this stage, especially in an outpatient setting. Instead, focusing on understanding the client's experience and addressing their concerns is more beneficial.

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Correct Answer is D

Explanation

A. Treatment is usually enough to overcome any social determinants. This statement is misleading, as social determinants of health significantly impact mental health and treatment outcomes. Effective treatment often requires addressing these determinants rather than relying solely on clinical interventions.
B. The client will be unable to change any of their social determinants of health. This is not accurate; while some social determinants can be challenging to change, individuals and communities can work towards improving their circumstances through support and resources.
C. Social determinants of health are mostly negative effects on a person's physical health. While social determinants can negatively affect physical and mental health, they also encompass positive factors that can support well-being, such as access to education and social support.
D. Social determinants can be an advantage or a challenge to treatment for an SMI. This statement accurately reflects that social determinants, such as socioeconomic status, community support, and access to healthcare, can either facilitate or hinder the treatment and recovery process for individuals with serious mental illnesses.

A. School-age B. Older adulthood C. Young adulthood D. Preschooler

Correct Answer is C

Explanation

A. School-age. While some early signs of schizophrenia may appear in childhood, the diagnosis is generally not made during this age group. Schizophrenia typically manifests later, with more distinct symptoms.
B. Older adulthood. Schizophrenia is not commonly diagnosed in older adulthood. While some individuals may experience late-onset schizophrenia, the majority of cases are diagnosed earlier in life, typically in young adulthood.
C. Young adulthood. Schizophrenia is most commonly diagnosed in late adolescence to early adulthood, usually between the ages of 18 and 30. This age group is critical as the onset of symptoms tends to occur during this developmental period.
D. Preschooler. Schizophrenia is extremely rare in preschool-aged children. Diagnosing schizophrenia in this age group is challenging, as many of the behaviors associated with the disorder can overlap with typical developmental variations.

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A nurse is caring for a client in an outpatient clinic. Exhibits Select the 3 interventions the nurse should plan to take.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing information regarding the social determinants of mental health and persons with serious mental illnesses (SMI). Which of the following pieces of information should the nurse share during the presentation?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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A nurse is caring for a client in an outpatient clinic.

Exhibits

Select the 3 interventions the nurse should plan to take.