A nurse in a mental health facility is assessing a client.
Physical health
Mental health support
Family history
Alcohol consumption
Access to lethal means
Feelings of self-worth
Support systems
The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"},"G":{"answers":"A"}}
Choice A reason: Physical health
Good physical health supports resilience and treatment participation. It reduces burden from comorbidities and aligns with Maslow’s foundation of physiological needs, making it a modest protective factor.
Choice B reason: Mental health support
Engagement in therapy and antidepressants is protective. Even if current efficacy feels limited, ongoing care provides structure and monitoring, consistent with NIMH’s emphasis on access to effective treatment.
Choice C reason: Family history
A maternal suicide and estrangement increase risk. Family history is a strong predictor of vulnerability, and loss of belonging undermines Maslow’s social needs, compounding depressive risk.
Choice D reason: Alcohol consumption
Past misuse elevates lifetime risk, but sustained sobriety is protective. Abstinence reduces impulsivity and stabilizes mood, though DSM-5 notes prior substance use remains relevant to risk.
Choice E reason: Access to lethal means
Immediate access to alprazolam with a stated plan is a high-risk factor. NIMH highlights lethal means as critical to restrict, and DailyMed warns of overdose dangers.
Choice F reason: Feelings of self-worth
Worthlessness and hopelessness are classic depressive risk markers. DSM-5 includes these as core symptoms, and NIMH links them directly to suicidal ideation.
Choice G reason: Support systems
Estranged family and reluctance to use friends increase isolation risk. While some friends exist, avoidance weakens this protective factor. Connectedness is central in NIMH’s prevention framework.
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Related Questions
Correct Answer is C
Explanation
Choice A reason: Visual hallucinations such as seeing bugs crawling on the wall are symptoms of schizophrenia, not anxiety. Alprazolam is a benzodiazepine used for acute anxiety relief, not for treating hallucinations.
Choice B reason: Delusional thinking, such as believing one is a government agent, is a psychotic symptom of schizophrenia. Alprazolam does not treat delusions; antipsychotic medications are required.
Choice C reason: A pounding heart is a classic manifestation of acute anxiety or panic. Alprazolam is indicated for short-term relief of acute anxiety symptoms, making this the appropriate situation for administration.
Choice D reason: Fatigue and lack of motivation are common in schizophrenia and depression, but alprazolam is not indicated for these symptoms. Administering it in this case would not address the underlying issue.
Correct Answer is C
Explanation
Choice A reason: Visual hallucinations such as seeing bugs crawling on the wall are symptoms of schizophrenia, not anxiety. Alprazolam is a benzodiazepine used for acute anxiety relief, not for treating hallucinations.
Choice B reason: Delusional thinking, such as believing one is a government agent, is a psychotic symptom of schizophrenia. Alprazolam does not treat delusions; antipsychotic medications are required.
Choice C reason: A pounding heart is a classic manifestation of acute anxiety or panic. Alprazolam is indicated for short-term relief of acute anxiety symptoms, making this the appropriate situation for administration.
Choice D reason: Fatigue and lack of motivation are common in schizophrenia and depression, but alprazolam is not indicated for these symptoms. Administering it in this case would not address the underlying issue.
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