The nurse on a psychiatric unit is caring for a client with severe depression. The client states, "I just cannot go on. It is hopeless for me and there is no end in sight. My family would be better off without me burdening them
" The nurse recognizes that this client is most at risk for:
a. Ineffective coping
b. Denial
c. Impaired recovery
d. Suicide
D
Risk for suicide must always be considered when a client is depressed, especially when the client has a history of prior attempts or is verbalizing the desire to die or the intent to kill himself. In this item, the client is most at risk for suicide based on the statements verbalized. Ineffective coping is present and therefore an actual rather than a risk problem. There is no evidence of denial or impaired recovery.
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During an assessment, a patient mentions that "I just can't smell like I used to. I can barely smell the roses in my garden. Why is that?" For which possible causes of changes in the sense of smell will the nurse assess? Select all that apply
a. Chronic alcohol use b. Cigarette smoking c. Frequent episodes of strep throat d. Chronic allergies e. Aging f. Herpes simplex virus I
Your new patient is admitted to your nursing home with a diagnosis of vascular dementia. You know that this type of dementia differs from Alzheimer's dementia is what way?
A. The progression of symptoms is predictable based on the person's heart disease. B. The progression of symptoms is more variable than Alzheimer's disease. C. Vascular dementia can be treated successfully with surgery compared to Alzheimer's disease where there is no surgical treatment. D. Vascular dementia is temporary and Alzheimer's dementia is permanent.
The nurse is educating a patient regarding the need to avoid foods high in potassium. What food choices led the nurse to conclude that teaching was not effective?
a. Apples and green beans b. Kiwis and onions c. Apricots and asparagus d. Grapes and lima beans
A group of nurses wishes to improve the ethics of the care their group provides. What is the first step this group should take to reach their goal?
1. Explore the values and beliefs of the physicians with whom they work. 2. Explore their individual values and beliefs. 3. Seek others' input rather than relying on their own ethical determinations. 4. Request that all dilemmas be presented to the Hospital Ethics Committee for resolution.