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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 C

Explanation

Rationale:

A. The cortico-striato-thalamo-cortical circuit (CSTC) is primarily associated with obsessive-compulsive disorder (OCD) and does not directly relate to phobias.

B. While the CSTC circuit is involved in OCD, it is not specifically linked to the broader spectrum of fear responses.

C. The amygdala-centered (ACC) circuit is involved in the processing of fear and panic, making it directly associated with feelings of panic, which are common manifestations of anxiety disorders.

D. The amygdala does play a role in anxiety and apprehension, but it is more specifically tied to the acute panic responses.

Correct Answer is D

Explanation

Rationale:

A. Seizures and tremors can occur with some antipsychotic medications but are not specifically indicative of tardive dyskinesia.

B. Hallucinations and delusions are symptoms of psychosis, not a side effect of anti-psychotic medications.

C. Nausea and vomiting can be side effects of anti-psychotic medications but are not characteristic of tardive dyskinesia.

D. Tardive dyskinesia is characterized by uncontrolled, repetitive movements, such as facial grimacing, tongue protrusion, and other involuntary movements.

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