The nurse has requested an order to place a patient on suicide watch. Which data noted in the health assessment led the nurse to this conclusion? (Select all that apply.)
a. Threats of killing oneself
b. Chronic pain
c. History of prior suicide attempt
d. Loneliness
e. Stable heart rhythm
ANS: A, B, C, D
Risk factors may be environmental, physical, psychological, or situational concerns. The nurse is concerned that the patient may be at risk for suicide. Verbal statements by the patient, physical illness such as chronic pain, prior attempts to commit suicide, and a lack of social interaction are potential causes for the act of suicide. A stable heart rhythm would not be a safety concern.
You might also like to view...
A nurse is preparing a teaching plan to address the domains of learning. Which of the following would the nurse address when focusing on the cognitive domain? Select all that apply
A) Thought B) Feelings C) Beliefs D) Recall E) Decision making
The nurse is preparing to perform the care of a patient's tracheostomy tube. Which of the following actions should the nurse perform during this procedure?
A) Clean the stoma and the skin surrounding the stoma with chlorhexidine. B) Perform deep suctioning before and after the trach care. C) Remove the soiled twill tape after new tape has been put in place. D) Wash the inner cannula with soap and warm tap water if it is not disposable.
During an endocrine assessment, the nurse asks a patient about changes in weight. For which organs is the nurse assessing function in the patient?
Select all that apply. 1. adrenal 2. thyroid 3. pituitary 4. parathyroid 5. gonads
When screening a patient for NCD risk, a nurse reviews the social determinants of health, including which of the following?
A. The social gradient B. Early life C. Work life D. All of the above