A tearful, anxious client comes to the clinic with the chief complaint "I should be dead.". The initial
task of the nurse conducting the assessment interview is to
a. assess lethality of suicide plan.
b. establish rapport with the client.
c. encourage expression of anger.
d. determine risk factors for suicide.
B
Establishing rapport will allow the nurse to obtain relevant assessment data such as the presence of a
suicide plan, lethality of plan, and presence of risk factors for suicide. Option C is not an identified
intervention.
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A 90-year-old patient complains to the nurse of shortness of breath after walking up a flight of stairs. What age-related change should the nurse explain results in this problem?
a. Flexible rib cage b. High-arched diaphragm c. Increased chest movement d. Enlarged bronchioles
A nurse is reviewing knowledge of the various types of seizures
The nurse is correct to state that signs and symptoms of loss of consciousness, jaw clenching, contraction and relaxation of muscle groups, and periods of cyanosis are most characteristic of what type of seizure disorder? a. Tonic-clonic b. Petit mal c. Myoclonic d. Atonic
A client has been admitted to the hospital with oliguric acute renal failure. In the oliguric phase, what changes in laboratory data would the nurse anticipate in this client?
A. Renal function indices return to baseline levels. B. Serum BUN, creatinine, and potassium levels and metabolic acidosis increase. C. A transient rise in BUN, creatinine, and potassium levels is followed by metabolic alkalosis. D. The BUN level starts to fall and continues to fall as creatine and potassium levels rise.
What measures may the older adult take to reduce the high cost of prescription drugs? (Select all that apply.)
a. Simply not fill a new prescription b. Take less than prescribed to preserve their supply c. Fill all prescriptions at once d. Save old prescription drugs for later use e. Share medications