The nurse is concerned that a client is at risk for developing a mental illness. What did the nurse assess to come to this conclusion? (Select all that apply.)
1. Does not sleep most nights
2. Unemployed for over 2 years
3. Meets with best friend once a week
4. Mother diagnosed with bipolar disorder
5. Smokes cigarettes and drinks alcohol every day
Answer: 1, 2, 4, 5
1. Exhaustion is a risk factor for mental illness.
2. Lack of resources is a risk factor for mental illness.
3. Meeting with a friend indicates a support system is present.
4. Genetic predisposition is a risk factor for mental illness.
5. Substance use is a risk factor for mental illness.
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A high-school nurse is planning an educational presentation for juniors. What activities are most appropriate for the nurse plan to include? (Select all that apply.)
a. Video showing the aftermath of a drunk driving car crash b. Confidential depression and suicide risk assessment c. Same-age speaker sharing her story about the impact of HIV disease d. Charts and graphs showing the physical changes of puberty e. Bicycle helmet fitting station to see if child has outgrown the helmet
Which concept is necessary for the delegate to understand when accepting delegation?
1. Accept all aspects of the task delegated. 2. Assume the delegator will serve as a mentor. 3. Clarify the time line and expectations. 4. Realize the delegate and delegator share responsibility.
What other problems might be going on with P.T. that you should consider?
What will be an ideal response?
When assessing an adult's liver, the nurse percusses the lower border and finds it to be 5 cm below the costal margin. What is the nurse's appropriate action at this time?
a. Document this as an expected finding for this adult. b. Palpate the gallbladder for tenderness. c. Palpate the upper liver border on deep inspiration. d. Use the hooking technique to palpate the lower border of the liver.