An older adult in a long-term care facility has been diagnosed with depression. What would indicate a need for further assessment of suicide risk?
a. Asking for assistance in writing a will
b. Voicing the intention to visit his brother
c. Donating excess clothing to charity
d. Asking the young widow next door for a dinner date
ANS: A
Making or altering a will is an indication of suicidal ideation.
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a. Administer medications. b. Cap off and wait 24 hours before starting feedings. c. Obtain a chest radiograph. d. Start the tube feeding.
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Which aspect of a family is likely to be determined or influenced by cultural or ethnic differences? (Select all that apply.)
a. Beliefs governing family relationships b. Family norms regarding what is right and wrong c. How outside events are perceived and interpreted d. Educational level family members are allowed to achieve e. Career family members are encouraged to pursue as adults
Which does the nurse observe during the assessment while documenting a Tanner Stage 5?
A. There is no pubic hair except for fine body hair. B. Pubic hair is developing along the labia. C. Pubic hair distribution extends to umbilicus. D. Pubic hair appears on the inner aspect of the thigh.