A college student who attempted suicide by overdose was treated in the emergency department. Because the patient lives in the dorm and her roommate and her parents are away, the decision was made to hospitalize her

The nursing diagnosis of highest priority would be: a. Powerlessness.
b. Social isolation.
c. Compromised family coping.
d. Risk for self-directed violence.


D
Risk for self-directed violence is the only one with life-or-death ramifications and is therefore of higher priority than the other options.

Nursing

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Spinal anesthesia will be used to perform a patient's scheduled bunionectomy. What should the nurse teach the patient about the administration of this form of anesthesia?

A) It will cause a significant, but temporary, decrease in level of consciousness. B) It will be injected at the level of C7 to T2. C) It will be injected between T8 and T9. D) It will be injected into the cerebrospinal fluid.

Nursing

Hannah Frazier, 87 years old, was admitted to the hospital with dehydration

Her family has been concerned with her increasing forgetfulness at home, but they are very distressed when they come to visit in the evening, and she is trying to climb out of bed and keeps screaming for help. Her daughter is very tearful because Mrs. Frazier was acting fine at lunch. What may be the explanation for this change in behavior? a. Relocation trauma b. Sundown syndrome c. Reaction to medications d. Dehydration

Nursing

As part of the intake protocol at an eating disorders clinic, an interview precedes a physical examination

Which of the following questions would a clinician be justified in excluding from an intake interview of a 16-year-old female referred by her pediatrician for the treatment of anorexia nervosa? A) "Do you remember when your last menstrual period was? B) "Have you noticed any new hair growth on your body in the last several months?" C) "Have you had any episodes of shortness of breath in the recent past?" D) "Can you tell me about some of the habits that you have related to food in your daily routine?"

Nursing

The dependent phase of maternal adjustment to parenthood is characterized by all of the following except:

1. it takes at least 24 hours (to 2 days) for even mature and healthy women. 2. the mother needs to verbalize the experience of pregnancy and birth. 3. the woman feels a little let down and needs some quiet time. 4. the mother may need information repeated and reminders on what to do now.

Nursing