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","E"]

Explanation

A. The client's statement, "I can't go on living without my child," indicates a potentially serious risk to their safety and well-being. This statement suggests that the client may be experiencing suicidal ideation or extreme despair, which requires immediate attention and intervention.

B. While sadness and anger are expected components of grief, the intensity of these feelings and their persistence need to be assessed for any signs of complicated grief or potential for self-harm. Addressing these emotions is critical to ensuring the client’s safety and providing appropriate support.

C. While understanding the expectations during group meetings is important for therapy, it is not as immediately critical as addressing the client's statements about their outlook on living and their medication adherence.

D. Knowledge about the therapist’s role is important for therapeutic alliance, but it is less urgent compared to addressing the client’s potentially dangerous outlook on living and their medication issues.

E. The client’s refusal to take the prescribed medication, with the belief that it "will not help," indicates a possible issue with medication adherence or effectiveness. This needs to be addressed to ensure that the client is receiving appropriate treatment for their mental health needs.

A. Offer the client information about a support group for parents. B. Encourage the children to visit the psychiatric unit when the client is leaving. C. Suggest the children live with other relatives. D. Notify child protective services.

Correct Answer is A

Explanation

Rationale:

A. Offering information about a support group is a supportive measure that can help the client manage their condition while parenting.

B. Encouraging children to visit the psychiatric unit may not be appropriate or therapeutic for the client or the children.

C. Suggesting that the children live with other relatives is a significant intervention that may not be necessary without further assessment.

D. Notifying child protective services is not warranted unless there is clear evidence of child neglect or abuse.

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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

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

Explanation

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Correct Answer is A

Explanation

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