What is the best response for the nurse to make to an adolescent who states, "I am very sad. I wish I wasn't alive.".?
a. "Everyone feels sad once in a while.".
b. "You are just trying to escape your prob-lems.".
c. "Have you told your parents how you feel?"
d. "Have you thought about hurting yourself?"
D
"Have you thought about hurting yourself?" acknowledges the adolescent's suicide gesture and further assesses the adolescent's condition. "Everyone feels sad once in a while" is a judgmental response that ignores the adolescent's obvious statement indicating a need for professional help. The parents should be made aware of an adolescent's precarious mental state; however, "Have you told your parents how you feel?" does not address the adolescent's statement.
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The nurse is creating a handout on reproduction for teen clients. Which piece of information should the nurse include in this handout?
1. The fertilized ovum is called a gamete. 2. Prior to fertilization, the sperm are zygotes. 3. Ova survive 12–24 hours in the fallopian tube if not fertilized. 4. Sperm survive in the female reproductive tract up to a week.
The client with respiratory difficulty has a V/Q ratio of 0.5 . What is the significance of this value?
A. The ratio is low; ventilation is exceeding perfusion. B. The ratio is low; perfusion is exceeding ventilation. C. The ratio is high; ventilation is exceeding perfusion. D. The ratio is high; perfusion is exceeding ventilation.
The client awakens at 3:00 AM requesting pain medication, but the nurse does not administer additional pain medication. Which justifies the nurse's decision to withhold the medication?
1. The client had a reaction to aspirin 5 years ago. 2. The nurse wants to help the client avoid drug addiction. 3. The client is asleep when the nurse returns with analgesia. 4. The client wants pain medication every hours exactly.
The nurse manager is educating a new hire on The Joint Commission (TJC). The manager tells the new hire that TJC mandates the use of continuous quality improvement and measurement of specific quality outcomes for patients with certain diagnoses
The teaching has been effective when the new hire states: a. "These mandates include patients admit-ted with Acute MI and COPD.". b. "Outcomes measures are mandated for patients with a diagnosis of congestive heart failure and brain attack.". c. "Acute renal failure and deep vein thrombosis have mandated outcomes by The Joint Commission.". d. "Outcome measures are mandated for pa-tients admitted with community-acquired pneumonia and congestive heart failure.".