The parent of a seriously mentally ill adult asks the nurse, "Why are you making a referral to a vocational rehabilitation program? My child won't ever be able to hold a job." Which is the nurse's best reply?
a. "We make this referral to continue eligibility for federal funding."
b. "Are you concerned that we're trying to make your child too independent?"
c. "If you think the program would be detrimental, we can postpone it for a time."
d. "Most patients are capable of employment at some level, competitive or supported."
ANS: D
Studies have shown that most patients who complete vocational rehabilitation programs are capable of some level of employment. They also demonstrate significant improvement in assertiveness and work behaviors as well as decreased depression.
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A child with hemophilia comes to the Emergency Department following an automobile accident. The child presents with multiple injuries. When prioritizing care for the child, the nurse would be most concerned with which of the following injuries?
1. Radial fracture 2. Abdominal abrasions 3. Dislocated shoulder 4. Occipital hematoma
A client who was widowed 3 years ago states, "I don't have many friends. The only people I visit with are some acquaintances at the local bar." Which health problem does the nurse suspect the client is experiencing based on this data?
A) Bipolar disorder B) Depression C) Sadness D) Extended grief
A client is being assessed for the presence of major depressive disorder (MDD). The nurse would analyze which client statements as supporting that diagnosis?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "My depression always lasts eight or nine days before I start feeling better." 2. "Sometimes I can't control how much I eat because it makes me feel better." 3. "I don't know why my family puts up with me. I'm not good for anything." 4. "I've lost three jobs in the last year." 5. "All I want to do is sleep."
You are giving discharge instructions to a patient who will be taking antacid for gastric problems. Which response is correct when taking antacids? (Select all that apply.)
1. Antacids must be taken with a lower fiber diet. 2. Antacids should be taken at HS. 3. Antacids serve as a gastric buffer. 4. Antacids must be taken between meals.