A 24-year-old man with schizoaffective disorder is considering disclosing his mental illness to his employer, so that he may be allowed to take time off for medication management appointments. Which of the following is a potential benefit of disclosure?
Disclosure may limit an employee’s chance for career advancement
It would be easier for the employee to come to work during an exacerbation of symptoms
Employers may find ways to avoid hiring people known to have a disability
There is an assumption that people with psychiatric illnesses may be less productive
The Correct Answer is B
Choice A reason: Limiting career advancement is a potential risk, not a benefit of disclosure.
Choice B reason: Disclosing a psychiatric condition can allow reasonable accommodations under the Americans with Disabilities Act, such as flexible scheduling or time off for appointments, facilitating better management of symptoms while maintaining employment.
Choice C reason: Avoidance of hiring is a risk associated with disclosure, not a benefit.
Choice D reason: Negative assumptions about productivity are potential risks, not advantages of disclosure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Rennie v. Klein addresses psychiatric patient rights and treatment, not duty to warn.
Choice B reason: Tarasoff v. Regents established the legal obligation for mental health providers to warn identifiable victims if a patient poses a serious threat, guiding duty to warn policies.
Choice C reason: O'Connor v. Donaldson concerns involuntary commitment, not duty to warn.
Choice D reason: Durham v. U.S. relates to the insanity defense, not warning obligations.
Correct Answer is C
Explanation
Choice A reason: Acute lower back pain is not an absolute contraindication for lumbar puncture. While it may cause discomfort or technical difficulty, lumbar puncture can often still be performed safely with careful positioning and analgesia.
Choice B reason: Osteoporosis is a relative concern for lumbar puncture due to potential fragility of vertebrae, but it is not an absolute contraindication. Special technique may be used to minimize risk.
Choice C reason: Increased intracranial pressure is a major contraindication to lumbar puncture because removing cerebrospinal fluid in the presence of elevated pressure can precipitate brain herniation, which is life-threatening. This makes it a critical consideration before performing the procedure.
Choice D reason: Decreased cardiac output is not a direct contraindication for lumbar puncture, though general hemodynamic instability may warrant caution. The primary concern is neurological safety rather than cardiovascular status.
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