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A client has been compliant with antidepressant therapy but states, "The meds don't seem to be working anymore." They have no immediate family in the vicinity and are estranged from siblings, saying, "They got over me a long time ago." The client acknowledges having a few friends but expresses, "I don't want to burden them with my stuff. I'm not worth that." Which factors should the nurse consider when evaluating the client's support systems? (Select all that apply.)

Physical health

Mental health support

Alcohol consumption

Feelings of self-worth

Family history

Access to lethal means

Answer and Explanation

Correct Answer : B,D,E,F

Choice A reason: Physical health is a critical component of overall well-being and can affect mental health recovery.

Choice B reason: Mental health support, including therapy and support groups, is essential for managing depression and preventing relapse.

Choice C reason: Alcohol consumption can interfere with antidepressant efficacy and may worsen depression symptoms.

Choice D reason: Feelings of self-worth are often impacted in depression and can influence the client's motivation and engagement in treatment.

Choice E reason: Family history may provide insights into genetic predispositions and patterns that could affect the client's mental health.

Choice F reason: Access to lethal means is a significant risk factor for suicide and must be addressed in the safety planning for clients with depression.

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Correct Answer is ["A","C","D","E"]

Explanation

Choice A reason: Personality traits are enduring and can be resistant to change, making treatment challenging.

Choice B reason: This statement is not accurate; clients with personality disorders may not always be receptive to treatment.

Choice C reason: Slow progress and clients discontinuing treatment are common barriers in treating personality disorders.

Choice D reason: Clients may not recognize the need for change, which can hinder the therapeutic process.

Choice E reason: Clients may identify with their personality traits, even if they are maladaptive, and may resist changing them.

A. Approach the client frequently throughout the day for brief interactions. B. Disclose some personal information to the client to demonstrate approachability. C. Approach the client frequently throughout the day for brief interactions. D. Wait for the client to initiate interaction.

Correct Answer is D

Explanation

Choice A reason: Frequent brief interactions can help build trust with a suspicious client by showing consistent and predictable behavior from the nurse.

Choice B reason: Disclosing personal information is not typically recommended as it can blur professional boundaries and may not be effective in establishing trust.

Choice C reason: This choice is a repetition of choice A and therefore does not provide a new approach.

Choice D reason: Waiting for the client to initiate interaction might lead to missed opportunities for engagement and could reinforce the client's suspicions.

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Naxlex Comprehensive Predictor Exams

The nurse is working with clients with personality disorders that are having problems with relationships and other parts of their life. Which barrier(s) is the nurse experiencing when working with this group of clients? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?

Correct Answer is D

Explanation

The nurse is performing a history and physical assessment for a client in the clinic with moderate dementia. The client asks the nurse why all of these questions are being asked. Which techniques will the nurse most likely avoid using to foster more therapeutic responses? Select all that apply.

The nurse is evaluating several clients with a diagnosis of schizophrenia. Which client will be assessed as having the worst potential outcomes?

A client is seeking counseling due to difficulty coping with being a victim of a violent attack 16 months ago. Which elements will the nurse assess for when determining the major components of posttraumatic stress disorder (PTSD)? (Select all that apply.)

A nurse in a mental health clinic is conducting a staff education session on schizophrenia. Which of the following manifestations should the nurse identify as negative symptoms? Select all that apply.

The nurse should frequently assess a client with a depressive disorder for lethality risk related to suicidal ideation. Which questions should the nurse include? (Select all that apply.)