A nurse is providing information regarding the social determinants of mental health and persons with serious mental illnesses (SMI). Which of the following pieces of information should the nurse share during the presentation?

Treatment is usually enough to overcome any social determinants.

The client will be unable to change any of their social determinants of health.

Social determinants of health are mostly negative effects on a person's physical health.

Social determinants can be an advantage or a challenge to treatment for an SMI.

Answer and Explanation

The Correct Answer is D

A. Treatment is usually enough to overcome any social determinants. This statement is misleading, as social determinants of health significantly impact mental health and treatment outcomes. Effective treatment often requires addressing these determinants rather than relying solely on clinical interventions.
B. The client will be unable to change any of their social determinants of health. This is not accurate; while some social determinants can be challenging to change, individuals and communities can work towards improving their circumstances through support and resources.
C. Social determinants of health are mostly negative effects on a person's physical health. While social determinants can negatively affect physical and mental health, they also encompass positive factors that can support well-being, such as access to education and social support.
D. Social determinants can be an advantage or a challenge to treatment for an SMI. This statement accurately reflects that social determinants, such as socioeconomic status, community support, and access to healthcare, can either facilitate or hinder the treatment and recovery process for individuals with serious mental illnesses.

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Correct Answer is B

Explanation

A. Diagnosis typically occurs after 40 years of age. This statement is inaccurate; schizophrenia most commonly manifests in late adolescence to early adulthood, typically between the ages of 18 and 30.
B. The need for resources increases as the disease progresses into adulthood. As schizophrenia progresses, individuals often require additional support and resources, including therapy, medication management, and community services, to manage symptoms and improve functioning.
C. Co-occurring mental health illnesses are rarely diagnosed. This statement is not accurate; individuals with schizophrenia often have co-occurring mental health disorders, such as depression, anxiety, or substance use disorders, which can complicate treatment and management.
D. Life expectancy is greater than the general population. This statement is incorrect; individuals with schizophrenia generally have a reduced life expectancy compared to the general population, often due to factors such as higher rates of comorbid conditions, lifestyle factors, and suicide risk.

A. Orthorexia B. Pica C. Anorexia nervosa D. Rumination disorder

Correct Answer is A

Explanation

A. Orthorexia. Orthorexia is characterized by an unhealthy obsession with eating foods that one considers healthy and the avoidance of foods perceived as unhealthy. The client's report of eliminating specific foods to "eat clean" aligns with this condition, indicating a focus on the quality of food rather than quantity.
B. Pica. Pica is the compulsive consumption of non-food items, such as dirt or chalk. The client's behavior of eliminating foods does not fit this description, as they are not consuming non-nutritive substances.
C. Anorexia nervosa. Anorexia nervosa is an eating disorder characterized by restrictive eating and an intense fear of gaining weight. While clients with anorexia may eliminate foods, the specific focus on "eating clean" suggests a different motivation than the fear of weight gain typically seen in anorexia.
D. Rumination disorder. Rumination disorder involves the repetitive regurgitation of food, which is then re-chewed or re-swallowed, rather than the intentional avoidance of certain foods. This behavior does not relate to the client's reported actions of eliminating foods from their diet.

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A nurse is providing information regarding the social determinants of mental health and persons with serious mental illnesses (SMI). Which of the following pieces of information should the nurse share during the presentation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in teaching a client who has been newly diagnosed with schizophrenia. Which of the following information should the nurse include?

Correct Answer is B

Explanation

A nurse is caring for a client who reports that they have been eliminating specific foods from their diet in order to "eat clean." The nurse should identify that this is an indication of which of the following conditions?

Correct Answer is A

Explanation

A nurse is assisting with an in-service to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?

A nurse is caring for a client who has schizophrenia. In which of the following phases of the nurse-client relationship should the nurse suggest a guided therapy session?

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