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","C","E"]

Explanation

Rationale:

A. Nylon socks are generally not considered a risk for self-harm and can be safely kept with the client.

B. A glass-framed picture presents a risk as the glass could be broken and used for self-harm. This item should be taken home.

C. Lace-up tennis shoes have long laces that could be used for self-harm, making them unsafe for a client at risk of suicide.

D. Cotton underwear does not pose a significant risk for self-harm and can be kept with the client.

E. A necklace could be used for self-harm, such as strangulation, and should be taken home to ensure the client's safety.

A. Anabolic steroids B. Hallucinogens C. Stimulants D. Opioids

Correct Answer is B

Explanation

Rationale:

A. Anabolic steroids are associated with mood swings and aggressive behavior but are less likely to cause the acute symptoms of paranoia, hallucinations, and severe agitation described here.

B. Hallucinogens, such as LSD or PCP, can cause intense paranoia, hallucinations, and erratic behavior, as seen in the client’s symptoms. These substances often lead to altered perceptions of reality, including visual and auditory hallucinations.

C. Stimulants like cocaine or methamphetamines can cause paranoia and hyperactivity but are less likely to cause the vivid hallucinations described.

D. Opioids typically cause drowsiness, respiratory depression, and a sense of euphoria rather than hallucinations and severe agitation.

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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 acute care mental health unit is examining the belongings of a client who is being admitted following a suicide attempt. Which of the following belongings should the nurse ask the client's partner to take back home?(Select All that Apply.)

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

Explanation

Correct Answer is B

Explanation

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