A patient being treated for symptoms of PTSD following a shooting incident at a local elementary school reports "I feel like there's no reason to go on living when so many others died."
Which of these is the most appropriate response by the nurse at this juncture?
A. "You've got lots of reasons to go on living"
B. "Are you having thoughts of hurting or killing yourself?"
C. "You're just experiencing survivor guilt."
D. "There must be something that gives you hope."
ANS: B
This patient is expressing hopelessness, and it is a priority to assess for suicide ideation in these circumstances. Items A and D minimize the patient's experience of feeling hopelessness. Item C may be a useful strategy to encourage the patient that this is a common experience of trauma survivors, but the immediate priority is determining patient safety.
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The nurse assesses her client to have mild anxiety concerning the birth process. The client states that she is not interested in Lamaze classes because she is single, and does not want to have natural childbirth
The nurse's best response would be: 1. "Lamaze classes promise painless childbirth. If you learn their methods, your pain is minimal." 2. "Lamaze classes can teach you relaxation methods, and also the benefits and risks of pain-relief methods. This assists you in making the best decision for you." 3. "You are very nervous. I think these classes would be best for you." 4. "Lamaze classes are geared toward couples. You might want to find a different class."
You are an occupational nurse completing routine assessments on the employees where you work. What might be revealed by a chest radiograph for a client with occupational lung diseases?
A) Fibrotic changes in lungs B) Hemorrhage C) Lung contusion D) Damage to surrounding tissues
In addition to obtaining vital signs and FHT, what is a priority for the client with placenta previa?
a. Determining cervical dilation b. Monitoring uterine contractions c. Estimating blood loss d. Starting a Pitocin drip
A school-aged child enjoys playing games with friends. At what age are children typically ready for games that include competition?
A) 7 years B) 9 years C) 10 years D) 13 years