A community health nurse is counseling a client who cares for a mentally ill parent. The client states, "I am feeling overwhelmed and exhausted." Which of the following referrals should the nurse make to provide this client with first level support?
Social worker consult
Support group
Psychiatrist
Life coach
The Correct Answer is B
Choice A Reason:
A social worker consult can provide valuable resources and support for managing the care of a mentally ill parent. Social workers can assist with navigating healthcare systems, accessing community resources, and providing emotional support. However, this referral may not provide the immediate peer support and shared experiences that a support group offers. Social workers are excellent for long-term planning and resource management but may not address the immediate emotional needs as effectively as a support group.
Choice B Reason:
A support group is an ideal first-level support for someone feeling overwhelmed and exhausted from caregiving responsibilities. Support groups offer a space for individuals to share their experiences, receive emotional support, and learn coping strategies from others in similar situations. This peer support can be incredibly validating and comforting, helping the client feel less isolated and more understood. Support groups can provide immediate relief and practical advice, making them a highly effective initial referral.
Choice C Reason:
Referring the client to a psychiatrist is important for addressing any potential mental health issues, such as depression or anxiety, that may arise from the stress of caregiving. Psychiatrists can provide medication management and therapeutic interventions. However, this referral may not offer the immediate peer support and shared experiences that a support group provides. While psychiatric care is crucial, it may be more appropriate as a follow-up referral after addressing the client's immediate need for emotional support.
Choice D Reason:
A life coach can help individuals set goals, develop strategies for personal growth, and improve overall well-being. However, life coaching may not be the most appropriate referral for someone dealing with the specific emotional and practical challenges of caregiving for a mentally ill parent. Life coaches typically focus on personal development and achieving future goals, which may not address the immediate emotional support needs of the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A: Incidence is a Measure of Mortality
This statement is incorrect. Incidence refers to the number of new cases of a disease that occur in a specified population during a defined period. It measures the risk of developing the disease, not the number of deaths. Mortality rates, on the other hand, measure the number of deaths due to a disease in a population.
Choice B: Incidence Includes Only People at Risk for the Disease
This statement is correct. The incidence rate is calculated by dividing the number of new cases of a disease by the number of people at risk for the disease in the population during a specified period. This measure helps to understand the likelihood of developing the disease among those who are susceptible.
Choice C: The Denominator for the Incidence Rate Calculation is for the Entire Population
This statement is incorrect. The denominator for the incidence rate calculation should include only those individuals who are at risk of developing the disease, not the entire population. Including the entire population would inaccurately represent the risk, as it would include individuals who cannot develop the disease (e.g., men in the case of breast cancer).
Choice D: New Cases are Not Considered When Calculating an Incidence Rate
This statement is incorrect. The incidence rate specifically measures the number of new cases of a disease that occur in a population during a specified period. Therefore, new cases are a critical component of the incidence rate calculation.

Correct Answer is B
Explanation
Choice A reason: Studies show a minimal increase in confidence levels among mentored youth
While mentorship can have various benefits, the statement that it shows only a minimal increase in confidence levels is not entirely accurate. Research indicates that mentorship programs can significantly boost self-esteem and self-confidence among youth. However, this choice does not directly address the primary rationale for referring a disruptive student to a mentorship program.
Choice B reason: Students who are mentored are more likely to attain educational success
This statement is supported by extensive research. Mentorship programs have been shown to improve academic performance, increase high school graduation rates, and enhance overall educational aspirations. Mentored students often receive guidance, support, and motivation that help them succeed academically. This rationale aligns well with the goal of addressing disruptive behavior in school by providing positive role models and support systems.
Choice C reason: Mentored teens tend to recover better from bullying experiences
Mentorship can indeed help teens recover from bullying by providing emotional support and guidance. Mentors can offer a safe space for mentees to discuss their experiences and develop coping strategies. However, while this is a valid benefit of mentorship, it is not the primary rationale for referring a disruptive student to a mentorship program.
Choice D reason: Mentorship will help the child avoid social activities during the teen years
This statement is incorrect. Mentorship programs aim to encourage positive social interactions and engagement in constructive activities. They do not seek to isolate children from social activities but rather to guide them towards healthier and more productive social engagements. Therefore, this rationale does not support the referral for mentorship.
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