The statement made by the client during the assessment interview that should alert the nurse to the
client's need for immediate, active intervention is
a. "I am mixed up, but I know I need help.".
b. "I have no one to turn to for help or support.".
c. "It is worse when you are a person of color.".
d. "I tried to get attention before I shot myself.".
B
Lack of social support and social isolation increase the suicide risk. Option A: Willingness to seek
help lowers risk. Option C: Being a person of color does not suggest higher risk because more
whites commit suicide than do individuals of other racial groups. Option D: Attention seeking is not
correlated with higher suicide risk.
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Reminiscence groups are designed to
a. Reorient the older adult b. Test the older adult's long-term memory c. Provide opportunities for life review d. Decrease confusion for the older adult
After cardiac surgery, a child has chest tubes inserted that are attached to an underwater-seal drainage system. You should be prepared to clamp chest tubes when
A) a clot obstructs the tubing. B) a tube becomes disconnected. C) red-stained drainage appears in a tube. D) you sit the child up to help with coughing.
The client is concerned that her milk may not be providing adequate nutrition for her infant. The nurse recognizes that an inadequate maternal diet generally decreases what in the breast milk of a lactating mother?
A) Protein B) Fat C) Calcium D) Vitamins
A school-age client diagnosed with autism is admitted to the hospital because of recent vomiting and diarrhea. Which intervention by the nurse is most appropriate upon admission?
1. Take the child on a quick tour of the whole unit. 2. Take the child to the playroom immediately for arts and crafts. 3. Orient the child to the hospital room with minimal distractions. 4. Admit the child to a four-bed unit with small children.