A nurse is assessing a client who has a mental illness. Which of the following factors are important when assessing social determinants of mental health? (Select all that apply)

Living in a homeless shelter

Access to a grocery store

Employed part-time at minimum wage

History of diabetes mellitus

Owning a small dog

Answer and Explanation

Correct Answer : A,B,C

Rationale:

A. Living in a homeless shelter is a significant social determinant that can impact mental health due to instability, lack of privacy, and increased stressors.

B. Access to a grocery store is important because food insecurity and lack of access to nutritious food can negatively affect mental and physical health.

C. Being employed part-time at minimum wage can contribute to financial stress, impacting mental health due to economic instability and potential lack of access to healthcare.

D. While a history of diabetes mellitus is relevant to overall health, it is not a direct social determinant of mental health.

E. Owning a small dog may have a positive impact on mental health due to companionship but is not a primary social determinant in this context.

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Correct Answer is B

Explanation

Rationale:

A. This statement undermines the importance of therapeutic communication, which is essential in building trust and understanding with clients.

B. Therapeutic communication is indeed a fundamental part of mental health nursing and plays a crucial role in establishing a therapeutic relationship that supports the client's emotional and psychological well-being.

C. Therapeutic communication is vital in nurse-client interactions and is integral to effective mental health care, not just nurse-to-nurse communication.

D. Therapeutic communication in healthcare requires specific skills and approaches that differ from everyday conversation, emphasizing the need for sensitivity, empathy, and active listening.

A. To limit the amount of bleeding from the surgical site B. To prevent fluid from accumulating in the wound C. To eliminate the need for wound irrigations D. To provide a means for medication administration

Correct Answer is B

Explanation

Rationale:

A. A JP drain primarily helps to prevent fluid accumulation, not just limit bleeding.

B. The JP drain is designed to remove fluids and blood from the surgical site, reducing the risk of fluid accumulation and promoting healing.

C. A JP drain does not eliminate the need for wound irrigations if indicated.

D. A JP drain is not used for medication administration; its purpose is drainage.

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A nurse is assessing a client who has a mental illness. Which of the following factors are important when assessing social determinants of mental health? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a newly licensed nurse about the importance of therapeutic communication. Which of the following statements should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is caring for a client who has a Jackson-Pratt (JP) drain in place after surgery for an open reduction and internal fixation. The nurse should understand that the JP drain was placed for which of the following purposes?

Correct Answer is B

Explanation

A newly hired nurse is providing report to a nurse. The nurse continuously interrupts the newly hired nurse during report. This is an example of which of the following?

A nurse is preparing to administer a unit of red blood cells. The nurse's responsibility is to compare and verify the information on the blood label with the client's information. The nurse should use which of the following as the priority source of verification?

A nurse is preparing a presentation for newly hired nurses about self-care of the nurse. Which of the following examples of self-care routines should be included?(Select All that Apply.)

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A newly licensed nurse asks a charge nurse, "What is the difference between a suicide attempt and self-harm?" Which of the following responses should the charge nurse give?

A nurse is assessing a client who is 48 hr postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider?

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