A nurse working in a community health center is speaking with a client who has a serious mental illness. The client states that they are unable to find employment and they do not understand why. Which of the following questions should the nurse ask? (Select all that apply.)

"What is your expected salary range?"

"Have you served time in prison?"

"What type of vehicle do you drive?"

"Do you use drugs?"

"Are you taking antipsychotic medication?"

Answer and Explanation

Correct Answer : B,D,E

Rationale:

A. Asking about salary range is not directly relevant to the client’s mental health condition and would not help in understanding the barriers to employment.

B. Inquiring if the client has served time in prison may reveal a history that could impact their employability, as some employers may have restrictions on hiring individuals with criminal records.

D. Asking about drug use is pertinent as substance abuse can interfere with employment opportunities and overall functioning.

E. Knowing whether the client is taking antipsychotic medication is important because adherence to treatment can significantly affect the client’s ability to function in a work environment.

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Correct Answer is ["B","D","E","F"]

Explanation

A. The ECG shows persistent sinus bradycardia on both December 1 and December 15. While sinus bradycardia is common in anorexia nervosa, its persistence may not necessarily reflect a therapeutic response.

B. The respiratory rate improved from 24/min to 20/min and the respirations are described as even and unlabored on December 15. This indicates a positive response to treatment.

C. The temperature data for December 15 is not provided. However, an increase toward normal temperature would indicate a therapeutic response, but without this data, we cannot confirm.

D. The weight increased from 34.5 kg (76 lb) to 37.2 kg (82 lb), which is a significant therapeutic improvement, reflecting progress in treatment.

E. The sodium level improved from 128 mEq/L to 130 mEq/L. Although the level is still slightly below normal, the upward trend indicates improvement.

F. The creatinine level decreased from 1.2 mg/dL to 0.9 mg/dL, showing improvement in kidney function and response to treatment.

A. "I can't sit still. I feel like I need to be doing things around the house." B. "Lately, I feel like I am more alert than usual and can focus better." C. "When I went to my provider, they told me I have high blood pressure." D. "I can't get my mind to stop racing at night. I'm only sleeping a couple of hours.”

Correct Answer is D

Explanation

Rationale:

A. Feeling restless and needing to be active can be more indicative of anxiety or agitation rather than depression.

B. Increased alertness and improved focus are not typical symptoms of depression; rather, depression often involves decreased energy and focus.

C. High blood pressure is not directly related to depressive symptoms.

D. Difficulty sleeping and racing thoughts at night are consistent with depression, particularly when accompanied by poor sleep quality.

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A nurse working in a community health center is speaking with a client who has a serious mental illness. The client states that they are unable to find employment and they do not understand why. Which of the following questions should the nurse ask? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on an inpatient eating disorder unit is caring for a client who has anorexia nervosa. Exhibits A nurse on an inpatient eating disorder unit is assessing a client. Which of the following assessment findings indicate a therapeutic response to the treatment plan? Select all that apply.

Correct Answer is ["B","D","E","F"]

Explanation

A nurse at a primary care clinic is assessing a client for manifestations of depression. Which of the following client statements should the nurse identify as being consistent with depression?

Correct Answer is D

Explanation

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