When the nurse and client construct a no-suicide contract, the preferable wording would be
a. "I will not try to harm myself during the next 24 hours.".
b. "In the next 24 hours I will not, for any reason, accidentally or purposely, kill
myself.".
c. "I will not kill myself until I call you.".
d. "I will not make a suicide attempt while I am hospitalized.".
B
This statement leaves no loopholes. Option A: The wording about not harming oneself and not
making an attempt can be ignored by the client who thinks "I am not going to harm myself, I am
going to kill myself" or "I am not going to attempt suicide, I am going to commit suicide.". Option C:
A client may call a therapist and leave the telephone to carry out the suicidal plan. Option D leaves a
huge loophole.
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A patient with borderline personality disorder has been making steady progress but one day gets a phone call from her boyfriend, who breaks off their relationship
Although she has not self-injured in over 2 months, she makes repeated lacerations on her forearm. Which statement about this and most maladaptive behaviors seen in personality disorders is most accurate? a. People with personality disorders rarely achieve lasting improvement. b. However dysfunctional, most behavior is the person's best effort to cope. c. People with personality disorders are at the mercy of others' actions. d. What appears to be improvement can be manipulation instead.
A nurse is talking with a patient who is scheduled to have a hemicolectomy with the creation of a colostomy
The patient admits to being anxious, and has many questions concerning the surgery, the care of a stoma, and necessary lifestyle changes. Which of the following nursing actions is most appropriate? A) Reassure the patient that the procedure is relatively low risk and that patients are usually successful in adjusting to an ostomy. B) Provide the patient with educational materials that match the patient's learning style. C) Encourage the patient to write down these concerns and questions to bring forward to the surgeon. D) Maintain an open dialogue with the patient and facilitate a referral to the wound-ostomy-continence (WOC) nurse.
HIPAA and HITECH have designated some technical standards as mandatory. Which of the following are associated with the implementation of standards? Select all that apply
1. The standards are insufficient to enable collection, management, and exchange of the mandated data. 2. Technical standards are needed to assure that structured and codified terminologies 3. Technical standards are needed to sufficiently capture all of health care 4. Standards must be widely available 5. Technical standards should be easily exchanged within and across organizations
In which order should the nurse conduct the examination of a postpartum client?
1. L–lochia 2. B–bowel 3. B–breast 4. U–uterus 5. B–bladder 6. E–emotional 7. H–Homans/hemorrhoids 8. E–episiotomy/laceration/edema