When assessing a client with suspected mental health issues, which aspect should a nurse prioritize for accurate diagnosis?
The client's financial background
Client's physical health status
Current mood and affect
Family’s assessment of the client’s behavior
The Correct Answer is C
Choice A reason: Financial background is a social determinant of health but does not directly inform diagnosis. It may influence access to care but is not diagnostic.
Choice B reason: Physical health status is important to rule out medical causes of symptoms, but it is not the primary focus when diagnosing mental health issues.
Choice C reason: Mood and affect are central to mental health diagnosis. They provide direct insight into the client’s emotional state, stability, and potential disorders such as depression, anxiety, or bipolar disorder. This makes them the priority in assessment.
Choice D reason: Family assessments can provide collateral information but may be biased or incomplete. The nurse must prioritize direct observation of the client’s mood and affect for accuracy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Three tablets equal 112.5 mg, which is below the prescribed dose. Administering this amount would underdose the patient, leading to subtherapeutic effects and poor symptom control.
Choice B reason: Two tablets equal 75 mg, which is half the prescribed dose. This would result in significant underdosing and ineffective management of depression.
Choice C reason: Four tablets equal exactly 150 mg, which matches the prescribed dose. This ensures therapeutic effectiveness and safety, making it the correct choice.
Step 1: Ordered dose = 150 mg.
Step 2: Tablet strength = 37.5 mg per tablet.
Step 3: (150 mg ÷ 37.5 mg) = 4 tablets.
Result = 4 tablets.
Choice D reason: Six tablets equal 225 mg, which exceeds the prescribed dose by 75 mg. This would risk overdose and adverse effects such as hypertension, serotonin syndrome, or gastrointestinal disturbances.
Correct Answer is B
Explanation
Choice A reason: Standardized protocols fail to account for the unique experiences of prejudice-related stress, which vary depending on cultural background, personal history, and social context. Applying a one-size-fits-all approach risks overlooking the client’s specific needs and perpetuating inequities.
Choice B reason: Developing a personalized care plan is the most appropriate intervention. Prejudice-related stress is highly individualized, shaped by cultural identity, lived experiences, and systemic factors. A tailored plan allows the nurse to address specific triggers, coping mechanisms, and support systems, ensuring care is both effective and culturally sensitive.
Choice C reason: Ensuring complete avoidance of stressors is unrealistic and impractical. Stressors related to prejudice are often systemic and unavoidable. Instead, the nurse should focus on equipping the client with coping strategies and resilience-building interventions.
Choice D reason: Directing the client solely to family support limits resources and may not be effective if family members lack understanding of prejudice-related stress. While family support can be valuable, it should complement—not replace—professional and community-based interventions.
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