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?"
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 ["A","C","D"]
Explanation
Rationale:
A. Bananas are high in potassium and should be avoided by clients with chronic kidney disease.
B. Green beans are relatively low in potassium compared to other options and do not need to be avoided.
C. Tomatoes are high in potassium and should be limited in the diet.
D. Raisins are high in potassium and should be avoided.
E. Asparagus is not particularly high in potassium and can generally be included in a renal diet.
Correct Answer is ["A","B","C"]
Explanation
Rationale:
A. Living in a homeless shelter is a significant social determinant that can impact mental health due to instability, lack of privacy, and increased stressors.
B. Access to a grocery store is important because food insecurity and lack of access to nutritious food can negatively affect mental and physical health.
C. Being employed part-time at minimum wage can contribute to financial stress, impacting mental health due to economic instability and potential lack of access to healthcare.
D. While a history of diabetes mellitus is relevant to overall health, it is not a direct social determinant of mental health.
E. Owning a small dog may have a positive impact on mental health due to companionship but is not a primary social determinant in this context.