A client asks the nurse, "The pamphlet I read about depression mentions that psychosocial factors
influence depression.
What does that mean?" Examples a nurse could cite to support the premise that
a client's depression can be influenced by psychosocial factors include (more than one answer may
be correct)
A. having a hostile and overinvolved family.
B. having two first-degree relatives with bipolar disorder.
C. feeling strong guilt over having an abortion when one's religion forbids it.
D. experiencing the death of a parent a month before the onset of depression.
E. experiencing symptom remission when treated with antidepressant medication.
ANS: A, C, D
Rationale: Option A: Family influence is considered a psychosocial factor affecting a client's mental
health. A hostile, overinvolved family is critical of the client and contributes to low self-esteem.
Option B: This example would be considered a genetic factor that influences the individual's risk for
mental disorder, not a psychosocial factor. Option C: Religious influences are considered
psychosocial in nature. Option D: Life experiences, especially crises and losses, are considered
psychosocial influences on mental health. Option 5: Treatment with a biological agent such as
antidepressant medication is an example of a biological influence.
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The nurse is considering delegating a task to an unlicensed assistive personnel. In deciding whether the task can be delegated, the nurse would choose to do the task if which of the following was determined?
1. The unlicensed assistive personnel is qualified to perform the task. 2. A reasonable and prudent nurse would delegate the task. 3. The act is specified in the state's nurse practice act as an LPN/LVN function. 4. The agency policy specifies that the task may be delegated.
What is the best way to look professional at work?
a. Ask your friends to help you shop for a uniform. b. Wear your favorite clothes to work. c. Check yourself in the mirror before leav-ing for work. d. Follow the agency's dress code.
Acute health effects of exposure to pesticides include:
1. Memory loss 2. Musculoskeletal problems 3. Cancer 4. Infertility
The patient in the prenatal clinic tells the nurse that she is sure that she is pregnant because she has not had a menstrual cycle for three months, and her breasts are getting bigger. What response by the nurse is best?
1. "Lack of menses and breast enlargement are presumptive signs of pregnancy." 2. "The changes you are describing are definitely indicators that you are pregnant." 3. "Lack of menses can be caused by many things. We need to do a pregnancy test." 4. "Breast and menstrual changes are positive signs of pregnancy. Congratulations."