Despite taking an antidepressant, an elderly client becomes more depressed. She tells a nurse, "I don't want to live here. I would rather die than live here." Which nursing diagnosis should the nurse incorporate into the client's care plan?
A) Risk for self-mutilation
B) Risk for suicide
C) Risk for other-directed violence
D) Risk for injury
B
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A hospitalized patient has become unresponsive. The left side of the body is flaccid. The attending physician believes the patient may have had a hemorrhagic stroke. What is the nurse's priority intervention?
1. Move the patient to the critical care unit. 2. Assess blood pressure. 3. Assess the airway and breathing. 4. Observe urinary output.
Internal consistency reliability refers to which of the following:
A) agreement between independent data collectors B) consistency in answers on tests C) the extent to which responses to a scale are similar D) the extent to which the responses to one measure match another
The nursing instructor is explaining the difference between the NCLEX-PN/VN examination and the NCLEX-RN. The nurse states that the two tests are similar, except the NCLEX-RN has a greater emphasis on which of the following?
A) Data collection and evaluation B) Planning and implementation C) Assessment and planning D) Implementation and evaluation
A patient diagnosed with schizophrenia demonstrates little spontaneous movement and has waxy flexibility. The patient's activities of daily living are severely compromised. An appropriate outcome would be that the patient will:
a. demonstrate increased interest in the environment by the end of week 1. b. perform self-care activities with coaching by the end of day 3. c. gradually take the initiative for self-care by the end of week 2. d. accept tube feeding without objection by day 2.