A client is being transferred from a group home to an evolving consumer household. The goal of this transition is for the client to eventually do what?
- A. Meet with a therapist on a weekly basis.
- B. Fulfill daily responsibilities without supervision.
- C. Use the increased emotional support of paid staff.
- D. Resolve crises within a shorter time period.
- F. B
- G. Evolving consumer households aim for client independence in daily tasks.
Correct Answer:
Rationale: Correct Answer: B: Fulfill daily responsibilities without supervision.
Rationale: Evolving consumer households focus on promoting client independence in daily tasks. This transition aims for the client to eventually be able to fulfill their daily responsibilities without the need for constant supervision. This goal aligns with the principles of empowerment and self-reliance, fostering the client's growth and autonomy.
Summary:
A: Meeting with a therapist on a weekly basis is not the primary goal of transitioning to an evolving consumer household.
C: Relying on increased emotional support of paid staff may hinder the client's independence rather than promoting it.
D: Resolving crises within a shorter time period is important but not the main focus of transitioning to an evolving consumer household.
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A 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.)
- A. The client reports being unable to find anything meaningful within their life
- B. The client attributes life's problems to being without family support.
- C. The client is unable to find work and does not have enough money for housing
- D. The client states that they are discriminated against due to their country of origin.
- E. The client reports not belonging anywhere and is without family support.
- F. B,C,D,E
- G. Lack of support, financial stress, discrimination, and disconnection impact mental health. Lack of meaning is internal, not social/cultural.
Correct Answer:
Rationale: Correct Answer: F: B,C,D,E
Rationale: The correct answer includes choices B, C, D, and E because these social/cultural factors can contribute to the client's mental illness. Lack of family support (B), financial stress and lack of work/housing (C), discrimination (D), and a sense of disconnection and lack of support (E) are all external factors that can significantly impact mental health. These factors can lead to increased stress, feelings of isolation, and exacerbate underlying mental health issues. By documenting these factors, the nurse can better understand the client's situation and provide appropriate support and interventions.
Summary:
- Choice A is incorrect as lack of meaning in life is an internal factor and not directly related to social/cultural influences.
- Choice G is incorrect as it oversimplifies the complex interplay of social/cultural factors on mental health and does not address specific client scenarios.
The nurse is creating a plan of care for a client experiencing a situational crisis. Which is the most measurable and obtainable goal for the client to achieve?
- A. The client will discover a new sense of self-sufficiency in coping
- B. The client will express anger regarding the crisis event.
- C. The client will resume the pre crisis level of functioning
- D. The client will identify possible causes for the crisis
- F. C
- G. Resuming pre-crisis functioning is measurable by assessing prior abilities and progress. It’s obtainable as it focuses on restoring known skills.
Correct Answer:
Rationale: Correct Answer: C: The client will resume the pre-crisis level of functioning
Rationale:
1. Measurability: This goal is measurable as it involves assessing the client's current level of functioning and progress towards returning to their pre-crisis state.
2. Obtainability: Resuming pre-crisis functioning is attainable as it focuses on restoring known skills and abilities that the client had before the crisis.
3. Client-Centered: It is client-centered as it aims to help the client regain their previous level of functioning, which is specific and achievable.
4. Progress Monitoring: Progress towards this goal can be objectively tracked through assessments of the client's abilities and comparing them to their pre-crisis state.
Summary:
- Choice A is vague and subjective, making it difficult to measure and achieve.
- Choice B focuses on expressing emotions, which may not directly help the client in resolving the crisis.
- Choice D is more focused on understanding the causes of the crisis rather
Which is true regarding mental health and mental illness?
- A. It is easy to determine if a person is mentally healthy or mentally ill.
- B. Persons who engage in fantasies are mentally
- C. In most cases mental health is a state of emotional psychological and social wellness evidenced by satisfying interpersonal relationships effective behavior and coping positive self-concept and emotional stability
- D. Behavior that may be viewed as acceptable in one culture is always unacceptable in other cultures.
- F. C
- G. Mental health involves balanced wellness across domains. Diagnosis isn’t always clear, fantasies don’t equate to illness, and cultural norms vary.
Correct Answer:
Rationale: Correct Answer: G: Mental health involves balanced wellness across domains. Diagnosis isn’t always clear, fantasies don’t equate to illness, and cultural norms vary.
Rationale:
1. Mental health is a complex concept that encompasses emotional, psychological, and social well-being.
2. Diagnosis of mental health conditions is not always straightforward and clear-cut.
3. Engaging in fantasies alone does not indicate mental illness; it is a normal aspect of human imagination.
4. Cultural norms influence perceptions of mental health and what behaviors are considered acceptable.
Summary:
A: Incorrect. It is not easy to determine mental health or illness due to the complexity and subjective nature of mental well-being.
B: Incorrect. Engaging in fantasies is not inherently indicative of mental illness.
C: Incorrect. While this choice provides a good definition of mental health, it does not address the nuances of diagnosis, fantasies, and cultural factors.
D: Incorrect. Cultural norms play a significant role in determining what is acceptable behavior, even in
A client unable to work due to relapsing schizophrenia is receiving Social Security Benefits. Which benefit will this provide to the client experiencing serious mental illness?
- A. The client will have the ability to obtain psychiatric service regardless of setting.
- B. The client will be able to pay all of their bills as well as purchase medication.
- C. The client will be able to maintain some level of independence financially
- D. The client will have the option to only obtain inpatient treatment
- F. C
- G. Social Security provides financial support, aiding independence.
Correct Answer:
Rationale: Correct Answer: C: The client will be able to maintain some level of independence financially.
Rationale: Social Security Benefits help individuals with disabilities, such as schizophrenia, maintain financial independence by providing a source of income when they are unable to work. This financial support can help cover basic needs and expenses, reducing financial burden and promoting stability for the individual.
Summary:
A: While Social Security Benefits can help cover psychiatric services, it does not guarantee access to services regardless of the setting.
B: Social Security Benefits may provide financial assistance, but it may not cover all bills and medication costs.
D: Social Security Benefits do not limit the client to only obtaining inpatient treatment; they can access a variety of mental health services.
E, F: These choices are incomplete or redundant.
G: While Social Security Benefits support financial independence, it is not the only purpose; it also aims to provide financial stability during times of inability to work.
A nurse is discussing culturally competent care at a nursing staff inservice. Which of the following information should the nurse include when discussing clients' cultures?
- A. Culture plays no role in determining when a client will seek medical care.
- B. Nurses should focus on clients' cultures rather than their ethnicity when providing care.
- C. Nonverbal communication is important in few cultures.
- D. Nurses should expect clients to adapt to the care provided regardless of culture.
- F. B
- G. Culture shapes care-seeking and health beliefs, guiding effective care.
Correct Answer:
Rationale: Correct Answer: G
Rationale: Understanding that culture shapes care-seeking and health beliefs is crucial for providing culturally competent care. Clients' cultural background influences their beliefs, values, behaviors, and attitudes toward healthcare. By recognizing and respecting these cultural differences, nurses can tailor care to meet the individual needs of clients from diverse backgrounds.
Incorrect Choices:
A: This statement is incorrect because culture significantly influences when and how clients seek medical care.
B: While focusing on clients' cultures is important, ethnicity also plays a role in providing culturally competent care.
C: Nonverbal communication is important in all cultures, not just a few.
D: It is not appropriate to expect clients to adapt to care without considering their cultural beliefs and practices.