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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.)

A.

"What is your expected salary range?"

B.

"Have you served time in prison?"

C.

"What type of vehicle do you drive?"

D.

"Do you use drugs?"

E.

"Are you taking antipsychotic medication?"

Question Solution

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.

 

C. Asking about the type of vehicle the client drives is not directly related to the client’s mental health or barriers to employment, and it would not provide insight into why the client is struggling to find work.

 

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 D

Explanation

Rationale:

A. Clients with active tuberculosis should not be placed in a room with other clients, even if they require droplet precautions, as TB requires airborne precautions.

B. While PPE protocols are important, the most critical precaution for TB is ensuring the client is in the correct environment to prevent airborne transmission.

C. Wearing gowns, masks, and gloves is important, but the most essential measure is the room's ventilation system.

D. Active tuberculosis is an airborne infectious disease, so the client should be placed in a private room with a negative pressure ventilation system to prevent the spread of the bacteria through the air.

Correct Answer is B

Explanation

Rationale:

A. Adverse effects of treatment might impact overall health but are not direct risk factors for developing mental illness.

B. Immune system dysfunction can contribute to the development of mental health disorders. Research shows that immune system abnormalities and chronic inflammation are linked to mental health conditions.

C. Exposure to environmental allergies does not have a direct link to the development of mental illness, though it can affect overall well-being.

D. Medication adherence affects treatment outcomes but is not a contributing factor to the development of mental health disorders.

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