The most important factor for a nurse to assess when evaluating suicide risk in a newly admitted depressed patient is:
A) The patient's plans for the immediate future after discharge
B) How long the person has felt depressed
C) How many personal "problems" the patient lists as stressors
D) How the patient plans to handle the upcoming anniversary of his or her spouse's death
D
You might also like to view...
A nurse is caring for an infant after a surgical procedure. After ensuring that the ordered dose is appropriate for the infant's age and weight, the nurse administers a narcotic analgesic intrave-nously
When assessing the infant 15 minutes later, the nurse notes respirations of 22 breaths per minute and a heart rate of 110 beats per minute. The infant is asleep in the parent's arms and does not awaken when vital signs are assessed. The nurse understands that these findings are the result of: a. an allergic reaction to the medication. b. immaturity of the blood-brain barrier in the infant. c. toxic effects of the narcotic, requiring na-loxone as an antidote. d. unexpected side effects of medications in infants.
The nurse enters the patient's room to give medications. Which action is most appropriate to identify the "right patient"?
a. Ask the patient to state his name. b. Ask the patient to state his name and birth date. c. Ask the primary nurse to identify the patient. d. Say the patient's name and date of birth and request patient validation.
The nurse is caring for a client with chronic pain due to arthritis. A priority nursing assessment for this client is for symptoms of:
A) Grief. B) Panic disorder. C) Bulimia. D) Depression.
A patient with a pneumothorax has a chest drainage system. The family asks when the chest tube will be removed. Which of the following responses, by the nurse, is best?
a. "The tube is removed when serous drainage has stopped collecting in the system." b. "The tube is taken out when the patient is able to cough and deep breathe effectively." c. "When tidaling stops and lung sounds are equal on both sides, the tube can be removed." d. "When the adventitious lung sounds are resolved, it is usually safe to remove the tube."