The LPN/LVN is assisting with the data collection of a patient recently admitted to the mental health unit. During the interview, the patient makes a statement that concerns the nurse
Which of the following statements would be most likely to prompt immediate attention?
A.
"When I get out of here I am going to overdose on my mother's medication."
B.
"When I get discharged, I am thinking I might try suicide again."
C.
"I don't feel any better since I got here."
D.
"If I get the chance, I just might run away."
ANS: A
The patient expresses the desire to end her life and verbalizes that there is a method for ending her life. This would be the highest risk that would need immediate action because the patient has motivation and the means to commit suicide.
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A 3-year-old child, while playing with his favorite toy in the playroom of the pediatric unit, is approached by another child who also wants to play with the same toy. What behavior will the nurse anticipate from this child?
a. Will play well with the other child b. Will give the toy up and then not play anymore c. Will become angry and a physical response might ensue d. Will ignore the toy and go on to something else
Evidence is strong that the timing of HF interventions are best initiated when:
1. The person enters stage C 2. The person has functional disabilities 3. At the earliest indication 4. When stage IV is determined
Gloves must be worn
A) for all patient care. B) when transferring a patient from bed to chair. C) only when caring for patients in isolation. D) for contact with blood or body fluids.
You are ambulating a patient who begins to fall to the floor. You should
A. grab the patient securely under the arms and lift up. B. keep your back straight and ease the patient to the floor. C. hold the patient up by the waist until another assistant brings a wheelchair. D. stay out of the way so the patient does not fall over you.