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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 A

Explanation

Rationale:

A. Taking bronchodilators before meals can help improve breathing, which is essential for eating comfortably, so it is better to take them before meals rather than after.

B. Resting before eating helps conserve energy and can make eating easier for individuals with COPD.

C. Eating small, frequent meals is beneficial for managing COPD because it prevents large meals that can lead to respiratory discomfort.

D. Choosing non-gas-forming foods can help reduce abdominal distention and discomfort during meals for individuals with COPD.

Correct Answer is D

Explanation

Rationale:

A. Platelets at 150,000/mm3 are within the lower range of normal but not immediately concerning.

B. A positive Western blot test is confirmatory for HIV but is not an immediate concern compared to other lab values.

C. A WBC count of 5,000/mm3 is within normal limits and not a primary concern for an HIV-positive client.

D. A CD4-T-cell count of 180 cells/mm3 indicates advanced immunosuppression, which is critical to monitor in HIV-positive clients to assess the progression of the disease and the risk for opportunistic infections.

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