During a one-to-one session with a client, the client states, "Nothing will ever get better," and "Nobody can help me." Which nursing diagnosis is most appropriate for a nurse to assign to this client at this time?
A. Powerlessness R/T altered mood AEB client statements
B. Risk for injury R/T altered mood AEB client statements
C. Risk for suicide R/T altered mood AEB client statements
D. Hopelessness R/T altered mood AEB client statements
ANS: D
The client's statements indicate the problem of hopelessness. Prior to assigning either risk for injury or risk for suicide, a further evaluation of the client's suicidal ideations and intent would be necessary.
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A) "The posterior chamber." B) "The hyaloid membrane." C) "The ocular fundus." D) "The anterior chamber."
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The nurse is preparing to assist the physician in removal of a chest tube. What should the nurse do to prepare the patient? (Select all that apply.)
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