The nurse is collecting the health history of a client and determines that the client has risk factors for developing mental illness. Which of the following should the nurse identify as a possible contributing factor in the development of a mental health disorder?
Adverse effects of treatment
Immune system
Exposure to environmental allergies
Medication adherence
The Correct Answer is B
Rationale:
A. Adverse effects of treatment might impact overall health but are not direct risk factors for developing mental illness.
B. Immune system dysfunction can contribute to the development of mental health disorders. Research shows that immune system abnormalities and chronic inflammation are linked to mental health conditions.
C. Exposure to environmental allergies does not have a direct link to the development of mental illness, though it can affect overall well-being.
D. Medication adherence affects treatment outcomes but is not a contributing factor to the development of mental health disorders.
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Correct Answer is B
Explanation
Rationale:
A. While skin color may be an indicator of overall health, it is not the most crucial data point before administering packed RBCs.
B. The hemoglobin level is the most important data to assess before administering packed RBCs, as it provides direct information about the client’s need for the blood transfusion and helps evaluate the effectiveness of the intervention.
C. Fluid intake is important in overall client assessment but is not as immediately relevant as hemoglobin levels when preparing to administer packed RBCs.
D. Temperature should be monitored to check for any signs of infection, but it is not the primary concern when deciding to proceed with a blood transfusion.
Correct Answer is D
Explanation
Rationale:
A. Poor concentration is common in anxiety but is not specific to panic-level anxiety.
B. Voice tremors can occur but are not as distinctive as depersonalization.
C. Shakiness can be a symptom but is not as defining as depersonalization.
D. Depersonalization is a common experience during panic-level anxiety, where the individual feels detached from themselves or their surroundings.