A child, aged 10 years, is referred to the mental health clinic by the school psychologist. The child
tells the advanced practice nurse that she wants to die "because no one likes me.". She adds that "the
other girls laugh at me.".
She is unable to pinpoint a cause for the behavior of the other girls and does
not think she can ever change their feelings about her. When she is asked if she has decided on a
plan for taking her life, she states she will jump from the bridge over the river near her home some
night after the family is asleep. She believes this will accomplish her goal because she saw her father
throw kittens off the bridge and knows they died in the water because, like her, they couldn't swim.
The nurse should make the assessment that suicide risk is
a. nonexistent.
b. low.
c. moderate.
d. high.
D
The suicide risk is high. The child is experiencing feelings of hopelessness and helplessness. The
method she has chosen is lethal and the means to carry out the plan are available.
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A patient has a diagnosis of seborrhea and has been referred to the dermatology clinic, where the nurse contributes to care. When planning this patient's care, the nurse should include which of the following nursing diagnoses?
A) Risk for Deficient Fluid Volume Related to Excess Sebum Synthesis B) Ineffective Thermoregulation Related to Occlusion of Sebaceous Glands C) Disturbed Body Image Related to Excess Sebum Production D) Ineffective Tissue Perfusion Related to Occlusion of Sebaceous Glands
A nurse is discussing the use of benzodiazepines as sedative-hypnotic agents with a group of nursing students. A student asks about the actions of these drugs in the central nervous system. The nurse makes which correct statement?
a. "Benzodiazepines affect the hippocampus and the cerebral cortex to cause antero-grade amnesia." b. "Benzodiazepines depress neuronal func-tions by acting at a single site in the brain." c. "Benzodiazepines induce muscle relaxa-tion by acting on sites outside the central nervous system." d. "Benzodiazepines promote sleep through effects on the limbic system."
Self-analysis assists providers in giving proper context to:
a. history and physical findings. b. therapeutic options. c. attitudes, values, and feelings. d. differential diagnoses.
Which of the following best describes community-based nursing?
a. A philosophy that guides family-centered illness care b. Providing care with a focus on the group's needs c. Giving care with a focus on the aggregate's needs d. A value system in which all clients receive optimal care