After threatening to jump off of a bridge, a client is brought to an emergency department by police. To assess for suicide potential, which question should a nurse ask first?
1. "Are you currently thinking about harming yourself?"
2. "Why do you want to harm yourself?"
3. "Have you thought about the consequences of your actions?"
4. "Who is your emergency contact person?"
1
Rationale: The nurse should first assess the client for current harmful or suicidal thoughts to minimize risk of harm to the client and provide appropriate interventions. A suicidal client is experiencing a psychiatric emergency in which the crisis team should assess for client safety as a priority.
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A type of fat found primarily in the subscapular, axillary, adrenal, and mediastinal regions of the newborn is which of the following?
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What will be an ideal response?
When the newly diagnosed insulin-dependent diabetic patient tells the nurse that he has never received instruction on the administration of injections, an appropriately stated nursing diagnosis for the patient is
A) Self-care deficit related to lack of knowledge about injections B) Knowledge deficit related to lack of knowledge about injections C) Deficient knowledge of injection administration as verbalized by the patient related to the lack of instruction and experience D) Ineffective healthcare maintenance related to diabetic instructions