A college student who attempted suicide by overdose was treated in the emergency department. Because she had no available social supports, she was hospitalized
An outcome related to the nursing diagnosis Risk for self-directed violence is that the patient will: a. exercise self-control by refraining from attempting to harm herself.
b. verbalize a desire and intent to live by the end of the second hospital day.
c. demonstrate two new coping mechanisms by the fourth hospital day.
d. discuss two personal strengths by the end of first week of hospitalization.
A
Refraining from self-harm relates most directly to the priority problem of risk for self-directed violence. The other outcomes are related to hope, coping, and self-esteem.
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The health care provider orders meticulous foot care on a patient with diabetes. What is the best rationale for the nurse to assess the patient for complications?
a. Poor hygienic practices in patients with diabetes b. Vascular changes, which reduces circula-tion c. The aging process, which causes skin breakdown and ulceration d. Limited joint range of motion, which makes caring for feet difficult
Community partnership is necessary because lay members often have a vested interest in the success of efforts to improve the health of their community. Most changes should
1. Involve the community residents only 2. Use nurses as their source of information and leadership 3. Rely on the power of local officials 4. Include a variety of disciplines
A nurse is about to assess a patients BP while the patient is out of bed in the chair. Which of the following should be considered in relation to patient position?
A. The patients arm should rest on the arm of the chair. B. The patient should hold the arm even with the fourth intercostal space. C. BP should not be taken while the patient is upright. D. Th nurse should support the arm even with the fourth intercostal space.
A patient has been receiving erythropoietin (Epogen). Which statement by the patient indicates that the therapy is producing the desired effect?
a. "I can do my housework with less fatique" b. " I have been passing more urine that I was before." c. " I have less pain and discomfort now." d. " I can swallow and eat much better than before."