Renee, a Nurse Working in a Primary Care Clinic, Is

Renee, a nurse working in a primary care clinic, is conducting a physical assessment of Adam, age 42, who reports multiple medical issues. Renee is concerned and wonders what might explain his poor health. During this visit, she asks Adam about his work history and discovers that he is working in a chemical plant. This information is not sufficient to a direct causal link between possible workplace exposure to toxins and his current medical issues because: (Select all that apply.)

A) Safety records of the plant do not pertain to the health records of the patient.
B) The patient has medical problems that could be caused by lifestyle decisions rather than by working in the plant.
C) Even if Adam has been exposed to toxic substances, the threshold required to have adverse or fatal consequences might not have been reached.
D) There has been little progress on researching the relationship between exposure to toxins and illness.