A client has been feeling increasingly overwhelmed by work and school responsibilities. This evening, his wife found him in the garage assembling a noose. When she questioned him, he began to cry
She immediately brought him to the emergency department. To assess suicide potential, which nursing question is inappropriate?
A) "Have you thought about harming yourself?"
B) "Why do you want to harm yourself?"
C) "How have you planned to harm yourself?"
D) "Do you have the means with which to carry out the plan?"
B
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A patient who experienced severe trauma in a multiple car accident on the freeway explained that he didn't even notice the pain of his injuries as he was helping his daughters escape from their burning car
He asked the nurse what kept him from feeling the pain immediately. What would be the nurse's best reponse? A) The accident occurred when it was cold outside. B) The patient has fewer nociceptors than normal. C) The patient has an impaired thalamus. D) Endogenous opioid peptides blocked transmission of the pain message to the brain.
When large amounts of ADH are released, the patient's sodium levels will be
a. increased. c. unaffected. b. decreased. d. altered inversely with potassium.
The statement by a client who has undergone radiation therapy for vaginal cancer that would indicate the need for further teaching is
a. "I can try different positions for intercourse." b. "I need to stop douching." c. "If I take a warm bath to relax before sex, it might make it easier." d. "I'm distressed about never having sexual intercourse again."
Families are subject to the tensions produced when stressors (family problems) penetrate their defense system. The family assessment model that uses this systems approach is called:
1. Family Assessment Intervention Model 2. Friedman Family Assessment Model 3. Genogram 4. Ecomap