A patient who is a policewoman tells the nurse she is depressed and can no longer deal with the stress of her job. She mentions that employee assistance counseling failed to change her hopeless attitude
She states that she will use her police revolver to shoot herself in the head during the day when no one is at home and the home is locked. Which formulation by the triage nurse is correct?
a. Plan explicit. Imminence high. Method highly lethal and accessible. Rescue po-tential low.
b. Plan vague. Imminence moderate. Method somewhat lethal and accessible. Res-cue potential moderate.
c. Plan complete. Imminence low. Method low lethality but accessible. Rescue po-tential high.
d. Plan nebulous. Imminence low. Method low lethality but accessible. Rescue po-tential high.
ANS: A
The correct option identifies that the plan is well thought out; the imminence is high because the patient is ready to act; the gun is a highly lethal method, and she has the weapon; and the rescue potential is low because a gun is the chosen method. The remaining options do not show the proper assessment of these criteria.
You might also like to view...
The patient is a 5-year-old child who is receiving a dosage of diphtheria-pertussis-tetanus (DPT) vaccine. What is the expected duration of the vaccine in a child of this age?
a. 1 year b. 3 years c. 5 years d. 10 years
Which type of database is projected to be used in the future to assist in standardizing, modifying, and evaluating nursing care delivered?
A) National health databases B) Local health databases C) Hospital health databases D) Physician-driven databases
When a child with mild cognitive impairment reaches the end of adolescence, which characteristic should be expected?
a. Achieves a mental age of 5 to 6 years b. Achieves a mental age of 8 to 12 years c. Unable to progress in functional reading or arithmetic d. Acquires practical skills and useful reading and arithmetic to an eighth-grade level
A patient has pain caused by a chronic condition. The patient is reluctant to take opioids because of a fear of addiction. The primary care NP should tell the patient that opioids:
a. carry a high risk of psychological dependence when used long-term. b. will help to improve the patient's functional outcomes and quality of life. c. will eventually become ineffective for treating pain when used over a long period. d. may require switching from one type of opioid to another to prevent tolerance over time.