A nurse in a mental health clinic is taking a medical history on a client. The nurse should recognize that which of the following factors in the client's history increases their risk for mental illness?

Being in a family with numerous siblings

Early exposure to violence

Being raised by a single mother

Living in a rural area

Answer and Explanation

The Correct Answer is B

A. Being in a family with numerous siblings. While family dynamics can influence mental health, having multiple siblings does not inherently increase the risk for mental illness. Protective factors such as social support from siblings may actually be beneficial.
B. Early exposure to violence. Experiencing violence at a young age, such as abuse or witnessing traumatic events, can increase the risk for mental illness by altering stress responses, emotional regulation, and cognitive development.
C. Being raised by a single mother. While single-parent households may present challenges, they do not directly cause mental illness. Supportive parenting, economic stability, and social resources can mitigate potential stressors.
D. Living in a rural area. Although access to mental health care may be more limited in rural areas, residing in such an environment is not a direct risk factor for developing mental illness. Social support and lifestyle factors play a more significant role.

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Correct Answer is C

Explanation

A. Although you have mentioned wanting to talk today about your past abuse, let's discuss this handout I have with new coping skills. Redirecting the client away from their chosen topic disregards their needs and autonomy. Patient-centered care involves respecting the client’s concerns and prioritizing what is most meaningful to them.
B. I am going to have to change our meeting time because I need to go get lunch. Changing the meeting time based on the nurse’s personal needs rather than the client’s schedule does not align with patient-centered care. The focus should remain on the client's well-being and therapeutic relationship.
C. Let's review the goals you set today and see what your priority is this week. Reviewing client-established goals and prioritizing their needs aligns with patient-centered care. This approach fosters collaboration and empowers the client to take an active role in their recovery.
D. I would like to focus on what I believe are the best goals for you to work on. Imposing the nurse’s priorities over the client’s goals does not support patient-centered care. Instead, care should be tailored to the client's preferences, values, and recovery journey.

A. Cognitive behavioral therapy B. Vagal nerve stimulation C. Electroconvulsive therapy D. Deep-brain stimulation

Correct Answer is A

Explanation

A. Cognitive behavioral therapy. Cognitive behavioral therapy (CBT) is a noninvasive treatment that helps individuals with depression by identifying and modifying negative thought patterns and behaviors. It is widely used and effective in improving mood, coping skills, and overall mental well-being.
B. Vagal nerve stimulation. Vagal nerve stimulation (VNS) is an invasive procedure that involves implanting a device to stimulate the vagus nerve. It is used for treatment-resistant depression and is not considered a first-line, noninvasive option.
C. Electroconvulsive therapy. Electroconvulsive therapy (ECT) is a medical procedure that involves electrical stimulation of the brain under anesthesia. Although effective for severe depression, it is invasive and typically reserved for cases that do not respond to medication or therapy.
D. Deep-brain stimulation. Deep-brain stimulation (DBS) involves surgically implanting electrodes in specific brain regions to regulate mood-related neural activity. It is an invasive treatment used in research or for severe, treatment-resistant depression.

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A nurse in a mental health clinic is taking a medical history on a client. The nurse should recognize that which of the following factors in the client's history increases their risk for mental illness?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a substance use disorder. Which of the following statements by the nurse is an example of patient-centered care?

Correct Answer is C

Explanation

A nurse is caring for a client who has depression. Which of the following noninvasive treatments should the nurse recommend to the client?

Correct Answer is A

Explanation

A nurse at a primary care clinic is collecting data on a client for manifestations of depression. Which of the following client statements should the nurse identify as being consistent with depression?

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