A depressed client repeatedly tells staff that he's a bad person and that he has cancer. Diagnostic
tests reveal no cancer. The priority nursing diagnosis for this client would be
a. social isolation.
b. risk for self-directed violence.
c. impaired verbal communication.
d. ineffective health maintenance.
B
A depressed client who feels so worthless that she believes she deserves cancer is at risk for suicide.
The nursing diagnosis of risk for self-directed violence takes priority over the other diagnoses listed.
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The nurse is administering immunizations to children in a neighborhood clinic. Which of the following is the most frequent route of administration?
A) Oral B) Intradermal C) Intramuscular D) Topical
A patient in balanced suspension traction for a fractured femur needs to be repositioned toward the head of the bed. During repositioning, the nurse should:
A) Place slight additional tension on the traction cords. B) Release the weights and replace them immediately after positioning. C) Lift the traction and the patient during repositioning. D) Maintain the same degree of traction tension.
The psychiatric nurse makes a home visit to a mother and her three children. The mother, recently divorced, is depressed and has been staying in bed
When the nurse arrives, she finds the home very dirty, with dishes in the sink and no food available. The nurse makes the following diagnosis: a. Readiness for Enhanced Home Maintenance b. Risk for Impaired Home Maintenance c. Adaptive Home Maintenance d. Impaired Home Maintenance
Alternative therapies may be used to treat eczema in adolescents. Which of the following is considered an alternative therapy?
1. Vitamin A 2. Vitamin B 3. Zinc 4. Calcium