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?
Treatment is usually enough to overcome any social determinants.
The client will be unable to change any of their social determinants of health.
Social determinants of health are mostly negative effects on a person's physical health.
Social determinants can be an advantage or a challenge to treatment for an SMI.
The Correct Answer is D
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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Dissociative amnesia. This condition involves memory loss of personal information or past events due to psychological stress or trauma. It does not cause physical symptoms like numbness or an inability to grip the steering wheel.
B. Depersonalization/derealization disorder. This disorder causes feelings of detachment from oneself (depersonalization) or the environment (derealization). While distressing, it does not typically result in sensory or motor deficits such as hand numbness.
C. Functional neurological symptom disorder. Formerly known as conversion disorder, this condition involves neurological symptoms, such as numbness or paralysis, that cannot be explained by a medical condition. The symptoms are often triggered by psychological stress, such as anxiety related to driving.
D. Factitious disorder. Factitious disorder involves deliberately fabricating or inducing symptoms to assume the sick role. In this case, the client is describing involuntary symptoms that appear to have a psychological basis rather than being intentionally produced.
Correct Answer is A
Explanation
A. Review treatment goals that have been accomplished. In the termination phase of the nurse-client relationship, it is essential to evaluate and review the progress made towards the treatment goals. This helps reinforce the client's achievements and prepares them for future independence.
B. Introduce the concept of discharge planning. While discharge planning is important, it is typically discussed earlier in the nursing process rather than during the termination phase. By this point, the client should already be aware of their discharge plans.
C. Gather data about the client's home situation. This action is more appropriate during the initial assessment phase or when planning care, rather than during termination. The focus should be on reflecting on progress and preparing for discharge.
D. Provide personal contact information to the client for use in case of emergency. This is not appropriate in the termination phase, as it can blur professional boundaries and may not adhere to nursing ethical standards. Instead, referrals to appropriate resources should be provided.
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