The major difference between self-injury and suicide lies in whether the patient has:
a. a need to control or a need to be controlled.
b. the wish to relieve tension or the wish to die.
c. been diagnosed with a developmental disorder or psychosis.
d. a tendency toward indirect or direct expression of self-destructive urges.
B
The lethality of self-injury is usually low, and patients who self-injure seek relief of tension. Suicide attempts are directed by the wish to die. Care-planning strategies will differ based on underlying patient motivation.
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What statement by the parent of a hospitalized toddler leads the nurse to determine the parent understands a hospitalized toddler's need for transitional objects?
a. "This stuffed animal makes him feel secure." b. "He insisted on bringing this dirty old blanket with him." c. "I'm going to buy him a big stuffed animal from the gift shop." d. "I'd like to get him some toys from the playroom."
The nurse is teaching an older adult client, and caregiver, regarding appropriate ways to decrease the client's risk for falls. Which interventions are appropriate for the nurse to include in the teaching session?
Select all that apply. A) Start aerobic exercises daily. B) Wear sensible shoes with good support when shopping. C) Wear socks when walking in the kitchen. D) Encourage the use of throw rugs throughout the home. E) Make sure hallways and stairways have adequate lighting, even at night.
In instructing the patient in the use of vaginal weight training, the nurse coaches the patient to insert the smallest of the cones in the vagina and:
a. wear it all day. b. perform 10 Kegel exercises and remove it, repeating this exercise three times a day. c. hold it in place with muscle tightening for 15 minutes and remove it. d. attempt to expel it with vaginal muscle tightening.
A client has been prescribed a medication to help him fall asleep but wake early. Which drug would the nurse expect to find ordered for this client?
1. Diphenhydramine (Nytol) 2. Eszopiclone (Lunesta) 3. Ramelteon (Rozerem) 4. Zaleplon (Sonata)