A 20-year-old college student has been admitted to the emergency department after taking an overdose of Tylenol. Which of the following nursing diagnoses should be prioritized in the care of this client after she is medically stabilized?
A) Impaired Social Interaction related to alienation secondary to depressive behavior
B) Hopelessness as evidenced by recent suicide attempt
C) Risk for Violence, Self-Directed, related to recent suicide attempt
D) Ineffective Coping as evidenced by recent suicide attempt
Ans: C
The client's risk for subsequent suicide attempts is a priority over other psychosocial diagnoses, even though these are each likely applicable in this client's case.
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The student nurse is learning how to reduce the stigma associated with mental illness. Which of the following statements by the student nurse reflects that learning has taken place?
1. "We're admitting another schizophrenic who hears God talking." 2. "A 19-year-old who reports hearing voices is being admitted with a diagnosis of psychosis not otherwise specified." 3. "We're admitting another crazy client." 4. "They've added another paranoid to the unit."
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1. Normal sternal border 2. Pectus carinatum 3. Barrel chest 4. Pectus excavatum
A patient received an implantable cardioverter-defibrillator (ICD). The nurse includes what instruction during discharge teaching for this patient?
1. "If a family member is in direct contact with you when the ICD discharges, he or she may experience a shock or tingling sensation." 2. "You can activate the ICD whenever you feel a change in your heart rhythm." 3. "The batteries of the ICD won't need to be replaced if the ICD never shocks the heart." 4. "There should be no discomfort if the ICD discharges, and you probably won't notice it."
A nurse keeps ongoing documentation of all the clients seen at the community health clinic. The nurse enters the demographic data and the primary diagnoses into the computer to have a comprehensive perspective of the clinic's clients
Which of the following best explains why the nurse is collecting this data? a. This data will be useful in a research study the nurse is conducting. b. This data will provide evidence of clinic resources being wasted on minor health problems. c. This data will help identify patterns in the risk factors associated with a particular subgroup. d. This data can be used to show trends that can be included in the next grant proposal for further funding.