S.is a 48-year-old divorced woman with one adult daughter and three grandchildren. She is currently working as an LPN part-time in a nursing home and works at a convenience store one or two days per week. She has had many jobs over the last 22 years, usually changing every one or two years to a new job. S notes that she has been called less often to work in the convenience store and worries that they don't like her anymore. She reports being written up several times for arguing with customers. She also reports that she liked her supervisor at; first; she says, "Now I hate her; she's trying to get me fired." S. reports that she has tried to get full-time jobs five times in the last four years was hired for three but only lasted one or two weeks at each one.

• How would you use therapeutic communication and principles of cognitive behavioral therapy with the client s?
• Describe your assessment process. What are some likely co-morbid conditions? List one nursing diagnosis and an appropriate nursing intervention.
• What interdisciplinary referrals might be appropriate?