When assessing a patient's plan for suicide, the priority areas to consider include:
a. patient financial and educational status.
b. patient insight into his or her suicidal motivation.
c. availability of means and lethality of method.
d. quality and availability of patient social support.
C
If a person has definite plans that include choosing a method of suicide readily available to the person and if the method is one that is lethal (i.e., will cause the person to die with little probability for intervention), the suicide risk is considered high. These areas provide a better indication of risk than socioeconomic status, insight, and support systems.
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A client diagnosed with schizophrenia spectrum disorder takes an antipsychotic agent daily. Which assessment finding should a nurse prioritize?
1. Respirations of 22 beats/minute 2. Weight gain of 8 pounds in 2 months 3. Temperature of 104?F (40?C) 4. Excessive salivation
The nurse is preparing to conduct a health history interview with a patient. Which is the best position for the nurse to assume during this process?
1) Leaning over the bed 2) Standing at the bedside 3) Sitting on the bed 4) Sitting on a chair at the bedside
Most accidents that happen in a nursing home
a. can be prevented. b. cannot be prevented. c. can be expected. d. occur without reason
The nurse is caring for patient who is postoperative after a bladder repair. The patient complains of pain. Which independent nursing intervention is best?
a. Administer an analgesic medication. b. Apply a cold compress to the surgical site. c. Dim the lights in the room. d. Irrigate the drainage tube.