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. Boundaries refer to maintaining professional limits in the nurse-client relationship, which is not directly related to the cause of hallucination exacerbation.
B. Relapse is the return of symptoms after a period of improvement, which is a common explanation for the recurrence of hallucinations in a client with schizophrenia.
C. The SE model (Social Ecological Model) is a framework for understanding the various levels of influence on health behaviors and is not a direct cause of hallucinations.
D. Stigma refers to the negative attitudes and beliefs about mental illness, which can affect a client’s self-perception but is not a direct cause of symptom exacerbation.
Correct Answer is A
Explanation
Rationale:
A. Stopping the transfusion is the priority action as it is essential to prevent further potential adverse effects and initiate an investigation of a possible transfusion reaction.
B. Assessing the skin for a rash is important but secondary to stopping the transfusion.
C. Notifying the provider is necessary, but the immediate priority is to stop the transfusion.
D. Covering the client with a blanket does not address the potential severity of a transfusion reaction.