A client is newly admitted to an inpatient psychiatric unit. Which of the following is most critical to assess when determining risk for suicide?
A. Family history of depression
B. The client's orientation to reality
C. The client's history of suicide attempts
D. Family support systems
ANS: C
A history of suicide attempts places a client at a higher risk for current suicide behaviors. Knowing this specific data will alert the nurse to the client's risk.
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The nurse interprets which of the following statements as an indication that the elderly client is meeting the developmental task for this stage of life?
1. "If I could live my life over, I would do a lot of things differently." 2. "It's been lonely, but I have found a new sweetheart in the nursing home." 3. "I didn't do everything I wanted to in life, but I am happy with what I accomplished." 4. "My kids didn't want my belongings, so I willed them to charity."
When sedatives given in combination have a greater effect on the client than any one given individually, the effect is called:
a. anesthesia c. synergism b. inadvertent reaction d. variability
A nurse is caring for a client with an injury to the central nervous system. When caring for a client with a spinal cord insult slowing transmission of the motor neurons, which deficits are anticipated?
A) A delayed reaction in identification of information due to slowed passages of information to brain B) A delayed reaction in cognitive ability to understand the relayed information C) A delayed reaction in processing the information transferred from the environment D) A delayed reaction in response due to the interrupted impulses from the central nervous system
A patient with amyotrophic lateral sclerosis (ALS) is being visited by the Home Health Nurse. The nurse is creating a care plan for this patient. What nursing diagnosis is appropriate for a patient with this condition?
A) Chronic confusion B) Impaired urinary elimination C) Impaired verbal communication D) Bowel incontinence