Walkthrough Q7: Psychosocial Integrity – NCLEX-PN®

00:01 The school nurse performs mental health assessments for school-age clients.

00:05 Which client has the highest risk of mental illness? Okay. So, this is back to that comparison thing.

00:11 I've got four patients. I'm looking for who has the highest risk of mental illness.

00:18 Does this mean that they have mental illness? Nope. It's just asking me, who has the highest risk? So, that's what I'm looking for.

00:27 So, just for fun, I'm going to start from number four and let's work our way up from the bottom.

00:33 Remember, when you're doing it, you can start in any order as long as you're using the method.

00:38 You keep track of the numbers on a separate sheet.

00:41 So, I've got one, two, three, four written down but I'm going to start at four.

00:44 A client who plays multiple sports but has only a few close friends.

00:50 Okay. Are they at a risk for mental illness? Multiple sports, sounds like a good thing.

00:57 So, that you're involved in lots of extra activities but only has a few close friends.

01:03 Does having just a few close friends put you at increased risk for mental illness? No. The fact that you have friends is good. You don't have to have a certain number.

01:14 So, I wouldn't think anything about number four puts him at an increased risk but I don't know.

01:20 I have to compare them to the other three answers.

01:24 A client who helps their parents after school at their family store.

01:28 Okay. Now, don't make a movie out of this, right? Don't think like this is child labor but just so you've got somebody who works with their parents after school at the family store.

01:39 Would they be higher risk for mental illness than number four? I don't see anything that would make them have more risk for mental illness.

01:50 So, I don't think it's number three. It says they're helping their parents after school.

01:54 That means they understand responsibility and doing things.

01:58 I think you'd have to be careful to make sure the child has ample opportunity to be a child and to do their homework but I don't see this as a risk for mental illness but keeping my ears and eyes open.

02:10 Number two, a client who is a new student and lives with their father on a military base.

02:16 Oh, gosh. That sounds hard. New student, lives with their father, military base, so, they likely may have moved around a lot.

02:24 Number four has a few close friends. We don't know about number two.

02:29 So, if you ask me to pick between two, three, and four, I would say that it's more difficult for number two.

02:35 They might feel isolated or lonely and maybe afraid to make friends because they're moving so much when they're in the military.

02:43 Now, number one, a client who lives with grandparents as the primary caregivers.

02:48 Are they at a higher risk for mental illness than number two? No. As long as they're in an environment where they feel loved.

02:56 Of these four, in NCLEX words, we would say that number two is at the highest risk to develop mental illness.

03:05 Think of things like depression, those types of things because of the movement and the disruption in their lives.

03:11 Does it mean that every military kid is at risk? No. It just means of the four that the NCLEX elves gave us to pick from, this would be the one with the highest risk of developing mental illness.