A nurse is discussing mental health with a client. Which of the following statements by the client requires follow-up by the nurse?

"My boss often asks me to work overtime, but I have to refuse the extra hours due to my responsibilities at home."

"The demands of raising two young children by myself are often overwhelming, and I sometimes need some alone time to recharge."

"On the weekends when my kids are with their other parent, I often just lay in bed all day and cry, because I feel hopeless."

"Work can be extremely stressful at times, so I often need to take a walk during my lunch break."

Answer and Explanation

The Correct Answer is C

Rationale:

A. This statement reflects a healthy boundary-setting behavior, where the client recognizes their limits and makes decisions accordingly.

B. This reflects a healthy coping mechanism, where the client acknowledges their stress and takes time to recharge, which is important for mental health.

C. This statement indicates a possible depressive symptom, as feeling hopeless and withdrawing from activities (like staying in bed and crying) can be signs of depression. This requires follow-up to assess the client's mental health and provide appropriate support.

D. Taking a walk during stressful times is a positive coping strategy that helps manage stress and maintain mental health.

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Correct Answer is ["A","B","E"]

Explanation

A. The client's statement, "I can't go on living without my child," indicates a potentially serious risk to their safety and well-being. This statement suggests that the client may be experiencing suicidal ideation or extreme despair, which requires immediate attention and intervention.

B. While sadness and anger are expected components of grief, the intensity of these feelings and their persistence need to be assessed for any signs of complicated grief or potential for self-harm. Addressing these emotions is critical to ensuring the client’s safety and providing appropriate support.

C. While understanding the expectations during group meetings is important for therapy, it is not as immediately critical as addressing the client's statements about their outlook on living and their medication adherence.

D. Knowledge about the therapist’s role is important for therapeutic alliance, but it is less urgent compared to addressing the client’s potentially dangerous outlook on living and their medication issues.

E. The client’s refusal to take the prescribed medication, with the belief that it "will not help," indicates a possible issue with medication adherence or effectiveness. This needs to be addressed to ensure that the client is receiving appropriate treatment for their mental health needs.

A. "There is a negative stigmatization for mental illness." B. "Bias is often isolated to inpatient hospitalization." C. "Displaying bias is a conscious act." D. "Favoring clients over others based upon their mental illness.”

Correct Answer is A

Explanation

Rationale:

A. Negative stigmatization for mental illness is a well-documented issue that affects individuals with mental health conditions, leading to discrimination and social exclusion.

B. Bias is not isolated to inpatient settings but can occur in various healthcare contexts and beyond.

C. Bias is often unconscious and can be subtle, not necessarily a deliberate or conscious act.

D. Favoring clients based on their mental illness is not typically a form of bias; instead, it can be indicative of personal biases or misconceptions about mental health.

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A nurse is discussing mental health with a client. Which of the following statements by the client requires follow-up by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a mental health clinic is caring for a client who is grieving. Exhibits A nurse is caring for a client who is grieving. Which of the following findings should the nurse identify as a priority to address? Select all that apply.

Correct Answer is ["A","B","E"]

Explanation

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Correct Answer is A

Explanation

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