A nurse is talking to the parents of a pediatric client about mental healthcare. The nurse explains that the factor having influence on the current trend in treatment settings is the fact in recent years:

funding for community programs has been inadequate.

community programs have been fully developed to meet treatment needs.

state hospitals have expanded to meet the demand.

laws have enabled more people to be committed to treatment.

Answer and Explanation

The Correct Answer is A

A. Funding for community programs has been inadequate.
In recent years, inadequate funding for community programs has been a significant factor influencing the current trend in treatment settings for mental healthcare. Insufficient funding can lead to limited resources, reduced access to services, longer wait times for treatment, and challenges in providing comprehensive and effective care in community settings. The nurse is likely emphasizing this point to highlight the importance of sufficient funding for community-based mental health programs to improve access, quality of care, and outcomes for pediatric clients and their families.

B. Community programs have been fully developed to meet treatment needs.
While the development of community programs is essential for improving mental healthcare accessibility and effectiveness, it is unlikely that all community programs have been fully developed to meet all treatment needs. Mental healthcare needs are diverse and evolving, requiring ongoing development, evaluation, and enhancement of community programs to address various issues and support individuals with different mental health conditions.

C. State hospitals have expanded to meet the demand.
The expansion of state hospitals may address some aspects of mental healthcare demand, but it is not typically the primary trend in modern mental healthcare settings. The focus has shifted towards community-based care, early intervention, outpatient services, and integrated care models to provide holistic and patient-centered treatment while reducing reliance on institutional settings like state hospitals.

D. Laws have enabled more people to be committed to treatment.
Laws related to mental health commitment may impact access to treatment for individuals with severe mental illness, but they are not the primary factor influencing the current trend in treatment settings discussed by the nurse. The emphasis in modern mental healthcare is on voluntary participation, patient autonomy, community-based care, and comprehensive treatment approaches that prioritize individual needs and preferences.

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Correct Answer is B

Explanation

A. Determine if the clients can relate to the students during their time together: This option is not the primary reason for discussing personal beliefs. While understanding the students' beliefs and attitudes may contribute to their ability to relate to clients, the primary focus of the discussion is typically not about client-student relational dynamics.

B. Guide the students to practice self-awareness so there is no interference with the client's care: This is the primary reason for discussing personal beliefs. Practicing self-awareness helps students recognize their biases, emotions, and beliefs that could potentially interfere with providing unbiased, empathetic, and effective care to clients with a history of abuse and self-harm.

C. Assign the most compatible clients and students together to ensure a good assignment: This option is not typically the primary reason for discussing personal beliefs. While compatibility between clients and students can be considered in assignments, the primary focus in this context is on self-awareness and minimizing interference with client care.

D. Assess the appropriateness of the setting for implementing nursing skills: This option is not the primary reason for discussing personal beliefs. While the setting's appropriateness for implementing nursing skills is important, the discussion about personal beliefs is more directly related to self-awareness and ensuring quality care for clients with specific needs.

A. Gamma-aminobutyric acid (GABA) and acetyicholine B. Glutamate and histamine C. Norepinephrine and serotonin D. Serotonin and acetylcholine

Correct Answer is C

Explanation

A. Gamma-aminobutyric acid (GABA) and acetylcholine: GABA is an inhibitory neurotransmitter that helps regulate neuronal excitability. It is not typically implicated in depression. Acetylcholine plays a role in cognitive functions and muscle contractions but is not primarily associated with depression.

B. Glutamate and histamine: Glutamate is the primary excitatory neurotransmitter in the central nervous system, and its imbalance has been linked to various neurological disorders, but it is not directly implicated in depression. Histamine, known for its role in allergic responses and wakefulness, is not typically associated with depression.

C. Norepinephrine and serotonin: Both norepinephrine and serotonin are monoamine neurotransmitters that play crucial roles in mood regulation. Decreased levels of these neurotransmitters have been strongly linked to depression. Norepinephrine is involved in the body's stress response and arousal, while serotonin is involved in mood, sleep, appetite, and other functions.

D. Serotonin and acetylcholine: Serotonin, as mentioned earlier, is significantly implicated in depression due to its role in regulating mood and emotional states. Acetylcholine, while important for cognitive functions and muscle control, is not primarily associated with depression.

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A nurse is talking to the parents of a pediatric client about mental healthcare. The nurse explains that the factor having influence on the current trend in treatment settings is the fact in recent years:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is caring for a client with a diagnosis of depression. A decrease in which of the following neurotransmitters has been implicated in depression?

Correct Answer is C

Explanation

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