The community health nurse recognizes that which of the following mental health issues is most prevalent in the homeless population?
Bipolar disorder.
Depression.
Substance addiction.
Schizophrenia.
The Correct Answer is C
Choice A rationale:
Bipolar disorder is a mood disorder characterized by alternating periods of depression and mania. While mental health issues can certainly be prevalent among the homeless population, bipolar disorder may not be the most prevalent in this context. Homelessness often exposes individuals to harsh living conditions, which might contribute to mood disturbances, but substance addiction is more commonly associated with this population.
Choice B rationale:
Depression is a significant concern among homeless individuals due to the many challenges they face, but substance addiction is generally more prevalent. Substance abuse often becomes a coping mechanism for dealing with the stressors of homelessness, making it a primary concern in this population.
Choice C rationale:
Substance addiction is a critical mental health issue that is highly prevalent among homeless individuals. The stress, trauma, and lack of stable support systems experienced by the homeless population contribute to a higher risk of substance abuse as a way to cope with their circumstances.
Choice D rationale:
Schizophrenia involves a disconnection from reality, including symptoms like hallucinations and delusions. While schizophrenia can certainly affect homeless individuals, substance addiction remains a more widespread concern due to its association with the challenges of homelessness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
This response uses a confrontational tone and places blame on the client for their behavior, which is not an example of assertive communication. It can potentially escalate the situation and hinder effective communication.
Choice B rationale:
This statement is authoritarian in nature, using phrases like "you need to" and "forgive me," which can further upset the client and create a power struggle. It lacks empathy and understanding, making it ineffective for assertive communication.
Choice C rationale:
While this response acknowledges the consequences of the client's negative behavior, it uses commanding language ("you better go to your room"), which can be perceived as aggressive and may escalate the situation instead of facilitating effective communication.
Choice D rationale:
This statement is the most effective example of assertive communication. It acknowledges the client's feelings ("I understand that you are angry") while also asserting the nurse's adherence to protocol. This response demonstrates empathy, understanding, and a willingness to address the client's emotions in a non-confrontational manner.
Correct Answer is C
Explanation
Choice A rationale:
Joining a bowling league 2 months ago indicates that the client is actively seeking social interactions and engaging in activities. While grief can manifest in various ways, joining a social activity does not necessarily indicate maladaptive grief. It's important for individuals to find ways to connect with others and continue living their lives after the loss of a loved one.
Choice B rationale:
Meeting his daughter for dinner every week demonstrates ongoing communication and emotional connection with family. This behavior suggests a healthy attempt at maintaining relationships and coping with the loss. Regular interactions with family members can be supportive during the grieving process.
Choice C rationale:
Keeping his partner's closet untouched since her death is a sign of maladaptive grief. This behavior suggests an inability to let go of personal belongings and move forward after a significant period of time. In healthy grieving, individuals usually work through their emotions and gradually start reorganizing their living spaces and personal items.
Choice D rationale:
Exercising at a local health facility 3 days each week indicates that the client is engaging in self-care and maintaining physical health. While exercise can be a coping mechanism, this behavior alone does not provide enough evidence to determine whether the client is experiencing maladaptive grief.
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