The nurse who is talking on the telephone with a depressed adolescent recognizes that the statement indicating the greatest immediate suicide risk is:
a. "I just needed to talk to someone to keep myself from thinking silly thoughts about killing myself.".
b. "My parents aren't home and won't be back for 4 hours. That should be enough time for the pills to work. I've got a hundred of them.".
c. "My dad will be home first, so he'll find me. So I think I'll use his gun. I hope he didn't lock the cabinet.".
d. "My girlfriend is here with me. She told me to call because I was talking crazy about killing myself.".
C
The risk of death increases when there is a definite plan of action, the means are readily available, and the person has few resources for help and support.
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The nurse serving as a mentor documents the following information in a mentoring log:
Mentee: Sandra Martin, RN: During last shift Sandra questioned her ability to meet goals negotiated several weeks ago. Discussed clarifying the goals strategies to achieve them. Shared personal experiences with achieving goals and efforts taken to be successful. In which mentoring phase is the nurse when mentoring this new employee? 1. Preceptor phase 2. Invitational phase 3. Questioning phase 4. Transitional phase
The community health nurse is teaching a group of adults about crisis experienced by various populations. Which statement by one of the group members indicates that the nurse's teaching has been effective?
1. "A good example of an adventitious crisis is a complicated divorce." 2. "I will be aware that maturational crisis may occur more frequently among my older adult patients." 3. "Patients with chronic illness are at greater risk for situational crisis than individuals without chronic illness." 4. "Adventitious crisis may occur in patients who have miscarried during pregnancy or have delivered a preterm infant."
A client received 2 units of packed red blood cells while in the hospital with rectal bleeding. Three days after discharge, the client experienced an allergic response and began to itch and break out with hives
What type of reaction does the nurse understand could be occurring? A) Delayed hypersensitivity response B) Anaphylactic reaction C) Sensitization D) An immediate hypersensitivity response
The nurse is teaching young parents on the proper techniques for feeding infants and young children who are bottle-fed
The nurse should instruct the parents to feed the children in an upright position in order to prevent which of the following? 1. Sinus infection 2. Choking 3. Aspiration 4. Otitis media