The nurse uses the SAD PERSONS scale as he interviews a patient who has expressed suicidal ideation. This tool provides data relevant to:
a. mood disturbance.
b. suicide potential.
c. current stress level.
d. level of anxiety.
B
The SAD PERSONS tool evaluates 10 major risk factors in suicide potential: sex, age, depression, previous attempt, ethanol use, rational thinking loss, social supports lacking, organized plan, no spouse, and sickness. The tool is not designed to assess depression itself and does not have appropriate categories to provide information about stress or anxiety.
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Which of these correctly describes the average length of pregnancy?
a. 38 weeks b. 9 lunar months c. 280 days from the last day of the last menstrual period d. 280 days from the first day of the last menstrual period
Nursing care in the fourth trimester includes an important intervention sometimes referred to as taking the time to mother the mother. Specifically, this expression refers to:
1. formally initializing individualized care by confirming the woman's and infant's ID numbers on their respective wrist bands ("This is your baby"). 2. teaching the mother to check the identity of any person who comes to remove the baby from the room ("It's a dangerous world out there"). 3. including other family members in the teaching of self-care and child care ("We're all in this together"). 4. nurturing the woman by providing encouragement and support for her taking on the many tasks of motherhood.
Identify an action that a school-age child would do to demonstrate concrete-operational development
1. A child follows the directions from the teacher to write his name on the board. 2. A child is playing dodgeball and decides to throw the ball at a person with a ball. 3. A child takes her friend's pencil because she wanted it. 4. A child is able to think through a math problem and check the work for a correct answer.
The nurse develops and implements a health promotion plan for an adolescent client. What should the nurse include in the evaluation of the plan?
1. Methods to expand and sustain successful approaches 2. Instruction to the client on what is considered healthy behavior 3. Advice for promoting health behaviors that will maintain a healthy lifestyle 4. Information on the client's attitude toward health