The nurse is preparing to discharge a client home from a mental health institution. The nurse should recognize that in order for a mental health client to receive home-bound health care, which of the following criteria must be met?
A patient who does not have a support system at home.
A patient who is refusing to go to group therapy.
A patient with major depressive disorder and stopped taking his medication.
A patient who is unable to leave home without assistance.
The Correct Answer is D
A. A patient who does not have a support system at home: While a lack of support is a concern, it is not a criterion for home-bound health care eligibility.
B. A patient who is refusing to go to group therapy: Refusal to participate in therapy does not meet the criteria for being home-bound.
C. A patient with major depressive disorder and stopped taking his medication: While this is a serious situation, it does not necessarily mean the patient is home-bound.
D. A patient who is unable to leave home without assistance: This fits the definition of being home-bound, which means the patient has a condition that makes leaving the home difficult and requires assistance.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Requiring frequent reassurance from others: This is more characteristic of dependent personality disorder, where individuals seek constant reassurance.
B. Inflated sense of self: This is a trait of narcissistic personality disorder, not paranoid personality disorder.
C. Lack of feelings of remorse: This is typical of antisocial personality disorder.
D. Suspiciousness of others: Paranoid personality disorder is characterized by pervasive distrust and suspicion of others, interpreting their motives as malevolent.
Correct Answer is C
Explanation
A. Physical activity level: Physical activity is important for overall health and can have positive effects on mental health by reducing the risk of depression and cognitive decline. However, while it is a significant factor, it is not the most strongly associated factor with mental health in older adults compared to social isolation.
B. Financial status: Financial stability can impact access to healthcare and overall quality of life, but it is not the primary factor influencing mental health. While financial stress can contribute to mental health issues, social factors tend to have a more direct and profound impact.
C. Social isolation: Social isolation is a major risk factor for mental health problems in older adults, including depression, anxiety, and cognitive decline. Lack of social interaction can lead to feelings of loneliness and increase the risk of mental health disorders, making it the most critical factor to consider. This choice is correct.
D. Dietary habits: Good nutrition is essential for maintaining physical and mental health, and poor dietary habits can contribute to various health issues. However, social isolation has a more direct impact on mental health outcomes in older adults compared to diet alone.
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