A nurse is completing an assessment of a client. Which of the following information should the nurse anticipate the provider will use in the diagnosis of a mental health disorder?

Psychosocial history

vaccine history

History of allergies

Surgical history

Answer and Explanation

The Correct Answer is A

A. Psychosocial history:

This includes information about the client's social, cultural, family, educational, and occupational background. It provides insights into the client's life circumstances, stressors, support systems, and overall psychosocial context. This information is crucial for understanding the context in which mental health symptoms may be occurring.

B. Vaccine history:

Vaccine history is not typically a primary factor in diagnosing mental health disorders. It is more relevant to preventive care and physical health.

C. History of allergies:

Allergies are primarily related to physical health and may not play a direct role in the diagnosis of mental health disorders.

D. Surgical history:

Surgical history is relevant to physical health conditions and is not a primary consideration in the diagnosis of mental health disorders.

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Correct Answer is D

Explanation

A. Having an advanced degree in engineering:

While pursuing an advanced degree can be challenging, it is not inherently a source of psychological distress. It may represent a personal and professional accomplishment.

B. Attending a community center daily:

Attending a community center daily is a regular activity and may not necessarily be a source of psychological distress. It could be a positive and fulfilling aspect of one's routine.

C. Belonging to the middle-class socioeconomic group:

Belonging to the middle-class socioeconomic group is not inherently a source of psychological distress. Socioeconomic status alone does not determine psychological well-being, and being in the middle class can provide stability and resources.

D. Being the only person of their ethnicity in a school setting:

This qualifies as a source of psychological distress. Being the only person of a particular ethnicity in a school setting may lead to feelings of isolation, cultural dissonance, and a sense of being different. Such situations can contribute to psychological distress and impact mental well-being.

A. Concrete thinking B. Agitation C. Paranoia D. Poverty of thought

Correct Answer is C

Explanation

A. Concrete thinking: Concrete thinking refers to a style of thinking that is focused on immediate and literal aspects of information. The patient's statement involves more than concrete thinking; it includes an irrational belief about the consequences of contagious bacteria, indicating a distorted perception of reality.

B. Agitation: Agitation refers to a state of restlessness or increased activity. The patient's statement does not necessarily reflect agitation but rather a specific paranoid belief about the consequences of bacteria exposure.

C. Paranoia: This is the correct answer. Paranoia involves irrational thoughts and fears of being harmed or persecuted by others. The patient's belief that contagious bacteria are everywhere and will lead to being locked up with other infected people is indicative of paranoid ideation.

D. Poverty of thought: Poverty of thought is characterized by a lack of meaningful or detailed thought content. The patient's statement is not an example of poverty of thought; rather, it involves specific and elaborate content related to a paranoid belief.

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A nurse is completing an assessment of a client. Which of the following information should the nurse anticipate the provider will use in the diagnosis of a mental health disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is C

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