A nurse is performing an assessment of a client with suicidal ideation. Which question would the nurse most likely ask to determine the degree of planning?
A) "How seriously do you want to die?"
B) "Have you attempted suicide before?"
C) "Could you stop yourself from killing yourself?"
D) "How much do the thoughts distress you?"
CThe question about stopping oneself from suicide reflects the degree of planning. Asking the client about how seriously he wants to die and about previous attempts of suicide reflect the client's intent to die. Asking about how much the thoughts are distressing reflects the severity of the ideation-
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A 64-year-old patient just returned from surgery. She is breathing rapidly and moving constantly in bed. She states, "I am scared and I hurt so much." What would be an appropriate intervention? Select all that apply
a. Immediately notify the surgeon of these data (physical symptoms and patient's statement). b. State calmly, "I am going to do everything I can to make you more comfortable." c. Tell the patient you would like to help her calm down and take some deep breaths. d. Ask the nursing assistive personnel to stay with the patient while you get an analgesic for her. e. Turn on the television to distract her from the pain and anxiety.
The nurse cares for a client with tuberous sclerosis. In addition to renal impairment, which findings does the nurse expect in this client? Select all that apply.
A) Early-onset gout B) Skin tumors C) Cognitive impairment D) Visual impairment E) Seizures
A client who is post percutaneous transluminal coronary angioplasty (PTCA) reports severe chest pain. Which action does the nurse take first?
a. Administer the prescribed IV morphine. b. Administer the prescribed sublingual ni-troglycerin. c. Assess the client's vital signs and notify the health care provider. d. Perform an immediate 12-lead ECG.
Spending time with those who make you laugh can help you reduce and cope with stress
Indicate whether the statement is true or false.