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 C

Explanation

Rationale:

A. Narrative therapy is a therapeutic approach that focuses on reshaping personal narratives and is not typically associated with increased risk of self-harm.

B. Dialectical behavior therapy (DBT) is specifically designed to help individuals with borderline personality disorder manage self-harm behaviors and emotional dysregulation, so it would generally reduce, not increase, risk.

C. The period following hospital discharge is often associated with a higher risk of self-harm due to potential lack of support, instability, or feelings of abandonment.

D. While significant life events such as getting married can be stressful, they are not typically associated with the highest risk of self-harm compared to the transitional phase post-discharge.

A. Blood pressure 102/66 mm Hg B. Straw-colored urine from an indwelling urinary catheter C. Respiratory rate 18/min D. Yellow-green drainage on the surgical incision

Correct Answer is D

Explanation

Rationale:

A. A blood pressure of 102/66 mm Hg is within normal limits for a postoperative client.

B. Straw-colored urine is a normal finding for a postoperative client.

C. A respiratory rate of 18/min is within normal limits.

D. Yellow-green drainage from the surgical incision can indicate infection or other complications and should be reported to the provider for further evaluation.

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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 discussing borderline personality disorder and the risk for self-harm with a newly licensed nurse. Which of the following situations should the nurse identify as the highest risk for self-harm?

Correct Answer is C

Explanation

A nurse is assessing a client who is 48 hr postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider?

Correct Answer is D

Explanation

A nurse is teaching a client who has chronic kidney disease about limiting foods that are high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply.)

A nurse is caring for a client who has schizophrenia with an exacerbation of hallucinations. The client states, "I do not understand why the hallucinations have come back." The nurse should explain that which of the following is the reason for the exacerbation of hallucinations?

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