The case manager has the option to refer a client with severe mental illness to a vocational
rehabilitation program. Which model, supported by evidence, should the nurse choose for the client?
a. Referral to a state vocational rehabilitation agency for prevocational training
b. Referral to a sheltered workshop with later placement in a competitive job
c. Job placement followed by individualized, on-the-job training
d. Cognitive interventions alternating with job skill training
C
Placing the client in the job first, then giving individualized training in the field describes the
supported employment model that is now an evidence-based practice. Options A and B are not
supported by evidence as superior models. Option D is not a vocational rehabilitation model.
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What symptoms would a client with a somatoform disorder complain of? (Mark all that apply.)
A) At least two gastrointestinal symptoms B) Severe headaches and visual problems C) Pain in at least four different locations D) A sexual or reproductive problem E) Flatus and diarrhea
An older client with chronic renal failure and weekly dialysis has anemia. Which intervention is most important for the nurse to implement for this client?
1. Frequent blood pressure assessment 2. Erythropoietin injection 3. Administer ferrous sulfate orally 4. Monitor for hematuria
It is important for the LPN/LVN to be a part of the evaluation process when giving the patient medications. Which of the factors below are considered to be an important part of the process of evaluating medications once they are given?
1. Ask the patient what the medication tasted like. 2. Ask the patient if swallowing all of the medications at once helped. 3. Evaluate the therapeutic effects and the adverse affects of the medication. 4. Evaluate whether more scheduled medication is needed.
Do not openly express pain or request pain medication
A. Chinese Americans B. Native Americans C. Hispanic Americans