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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
Choice A reason: Drinking alcohol to excess is a behavior that can be influenced by growing up in a home with alcoholic parents, as it may become a learned coping mechanism.
Choice B reason: Hanging on to bad relationships due to fear of being alone can be a behavior stemming from the instability and insecurity experienced in a home with alcoholic parents.
Choice C reason: Returning to college to complete a degree does not directly correlate with the influence of growing up in a home with alcoholic parents and is more indicative of personal ambition and goals.
Choice D reason: Having multiple divorces with tumultuous relationships could be related to the dysfunctional relationship dynamics observed in a home with alcoholic parents.
Choice E reason: Forming several trusting relationships with friends does not necessarily correlate with growing up in a home with alcoholic parents and is generally a positive social behavior.
Correct Answer is ["B","C","D"]
Explanation
Choice A reason: Coping patterns can influence an individual's ability to handle stress and may contribute to suicide risk if they are maladaptive.
Choice B reason: Alcohol use can increase impulsivity and lower inhibitions, potentially increasing the risk of suicide.
Choice C reason: Socioeconomic status can impact access to resources and support, which may affect an individual's suicide risk.
Choice D reason: Support systems can provide emotional support and connection, which are protective factors against suicide.
Choice E reason: Identifying suicide risk is essential in assessing the immediate danger and the need for interventions.
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