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 ["A","B","C"]

Explanation

Rationale:

A. Living in a homeless shelter is a significant social determinant that can impact mental health due to instability, lack of privacy, and increased stressors.

B. Access to a grocery store is important because food insecurity and lack of access to nutritious food can negatively affect mental and physical health.

C. Being employed part-time at minimum wage can contribute to financial stress, impacting mental health due to economic instability and potential lack of access to healthcare.

D. While a history of diabetes mellitus is relevant to overall health, it is not a direct social determinant of mental health.

E. Owning a small dog may have a positive impact on mental health due to companionship but is not a primary social determinant in this context.

A. "I will be able to eat breakfast prior to my procedure." B. "This procedure will cause me to have brief seizures." C. "One ECT treatment will be effective for my depression." D. "I will not need to have a pre-ECT workup before the procedure."

Correct Answer is B

Explanation

Rationale:

A. Eating breakfast prior to the procedure is generally not allowed due to the requirement for anesthesia, which requires the stomach to be empty to reduce the risk of aspiration.

B. Brief seizures are a key component of ECT, as the procedure involves inducing controlled seizures to achieve therapeutic effects. This statement indicates an accurate understanding of the procedure.

C. One ECT treatment is not typically sufficient for treating depression; multiple sessions are usually required for therapeutic benefit.

D. A pre-ECT workup is necessary to ensure the client is physically prepared for the procedure and to assess any potential risks.

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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 is assessing a client who has a mental illness. Which of the following factors are important when assessing social determinants of mental health? (Select all that apply)

Correct Answer is ["A","B","C"]

Explanation

A nurse is preparing a client for electroconvulsive therapy (ECT). Which of the following client statements indicates an understanding of the procedure?

Correct Answer is B

Explanation

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