Your 15-year-old neighbor, who knows you are a mental health nurse, informs you that he or she has "a friend who is talking about suicide." Your best initial response to the young neighbor is:
A) "Who is it? Another neighbor?"
B) "I have some time. Tell me a little about this friend."
C) "Who else knows? Has this friend told anyone else?"
D) "Your friend needs help right away!"
B
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Which assessment finding of an older adult living in an assisted-living facility indicates the highest risk for suicide?
a. Liver failure is due to alcohol abuse; older adult is popular at meals. b. Older adult declines company; is preoc-cupied with lethal weapons. c. Refuses to allow a large, extended family to help him. d. Older adult had an overdose of acetami-nophen 20 years ago; is in a sewing group.
A nurse is repositioning a client who cannot do this without assistance and observes an area of redness on the right hip. The redness is not resolved within 30 minutes of the position change. Which of these actions should the nurse take next?
a. Document the reddened area in the client's chart. b. Call the supervisor. c. Call the health care provider. d. Plan to reposition the client more frequently.
A healthcare organization is implementing connected care. Which situation best fits the use of this delivery system?
A) Chronic congestive heart failure patients are assessed in rural clinics using telecommunication technology and are given instructions on how to best manage their care. B) Patients may sign up with a telehealth provider, who provides health promotion information and activities. C) Continuing education courses for healthcare professionals are provided to the education department of acute-care institutions for continuing education credits. D) A physician consultant receives an x-ray, CT scan, and EKG via the telecommunication network to manage the care of a client with congestive heart failure and diabetes.
A client delivered 30 minutes ago. Which postpartal assessment finding would require close nursing attention?
1. A soaked perineal pad since the last 15-minute check 2. An edematous perineum 3. A client with tremors 4. A fundus located at the umbilicus