The nurse is performing an admission assessment for a client admitted to the behavioral health unit. Which social/cultural category will the nurse document that may be contributing to the client's degree of mental illness? Select all that apply. (Select All that Apply.)
The client reports being unable to find anything meaningful within their life
The client attributes life's problems to being without family support.
The client is unable to find work and does not have enough money for housing
The client states that they are discriminated against due to their country of origin.
The client reports not belonging anywhere and is without family support
Correct Answer : B,C,D,E
The client attributes life's problems to being without family support: Lack of family support can significantly impact an individual's mental health and well-being. It can lead to feelings of isolation, loneliness, and a lack of emotional support, potentially contributing to the development or exacerbation of mental illness.
The client is unable to find work and does not have enough money for housing: Financial instability, unemployment, and inadequate housing are social determinants of mental health. These factors can contribute to stress, anxiety, and a sense of hopelessness, which may impact the client's mental well-being.
The client states that they are discriminated against due to their country of origin: Experiencing discrimination based on one's country of origin can lead to feelings of marginalization, social exclusion, and psychological distress. Discrimination is a social factor that can contribute to the development of mental illness or exacerbate existing mental health conditions.
The client reports not belonging anywhere and is without family support: Feeling a lack of belonging or a sense of disconnectedness can have a negative impact on mental health. It can contribute to feelings of isolation, low self-esteem, and depression. Additionally, lacking family support further compounds the client's sense of not belonging, potentially affecting their mental well-being.
Incorrect:
The client reports being unable to find anything meaningful within their life: While this statement suggests a lack of purpose or fulfillment in the client's life, it does not specifically address social or cultural factors that could contribute to their mental illness. It may be important to explore further during the assessment to identify underlying issues, but it does not fall under the social/cultural category.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
The nurse should include the following components when performing a mental status examination (MSE) on a client with a new diagnosis of dementia:
● Grooming: Assessing the client's grooming and personal hygiene can provide insights into their ability to care for themselves and maintain basic activities of daily living.
● Long-term memory: Evaluating the client's long-term memory can help identify any deficits or impairments in their ability to recall past events, experiences, or personal information. This is particularly relevant in dementia, as it often affects memory function.
● Support systems: Assessing the client's support systems, such as family members, friends, or caregivers, is essential in understanding the resources available to the client and the level of assistance they may require in managing their dementia. However, this does not occur within the mental status exam.
● Affect: Evaluating the client's affect refers to observing their emotional expression and responsiveness during the assessment. In dementia, changes in affect can occur, such as a flat affect or inappropriate emotional responses.
The component that should not be included in the MSE for a client with dementia is:
● Presence of pain: While pain assessment is an important aspect of caring for individuals with various health conditions, including dementia, it is not a specific component of the mental status examination. Pain assessment is typically addressed separately and should be conducted when necessary or based on the client's specific complaints or indications of pain.
Correct Answer is D
Explanation
The purpose of asking the client to describe their problems during the assessment is to obtain information about their perception of the problem. By asking the client to describe their problems
in their own words, the nurse gains insight into how the client perceives and understands their current situation. This information helps the nurse to understand the client's subjective experience, their concerns, and their specific needs related to the problem. It allows for a more accurate assessment of the client's situation and helps in developing an individualized plan of care tailored to their unique needs.
● Personal needs: While understanding a client’s personal needs is important in providing care, it is not the primary purpose of this specific question. The nurse may ask other questions to gather information about the client’s personal needs.
● Communication skills: Assessing a client’s communication skills may be important in some cases, but it is not the primary purpose of this specific question. The nurse may use other methods to assess the client’s communication skills.
● Admitting diagnosis: The admitting diagnosis is typically determined by a physician and is based on medical tests and examinations. While the nurse may gather information that can contribute to determining the admitting diagnosis, it is not the primary purpose of this specific question.
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