In assessing for potential problems, the nurse realizes that a leading cause of death in the young adult age group is suicide. Which of the following factors could indicate a problem in this area?
1. Decreased interest in work.
2. Weight loss.
3. Depression.
4. Brain dysfunction, including tumors.
5. Sleep disturbances.
Correct Answer: 1,2,3,5
Rationale 1: A decreased interest in activities such as work is commonly identified as a risk factor for suicide.
Rationale 2: A weight loss not associated with a physical cause is commonly identified as a risk factor for suicide.
Rationale 3: Depression is commonly identified as a risk factor for suicide.
Rationale 4: Brain tumors are not an indicator for suicide.
Rationale 5: Sleep disturbances are commonly identified as a risk factor for suicide.
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The nurse teaches a 65-year-old obese client who works as a greeter in a store regarding care of the client's varicose veins. Which of the following statements, if made by the client, indicates the need for further teaching?
A) I can sit with my legs crossed at the knees. B) I elevate my legs on breaks and in the evening. C) I have joined weight watchers to help me lose my excess weight. D) I will get some support stockings from the medical supply company.
The young father tells the industrial nurse at work that he is afraid he will give his 2-week-old baby his cold. The nurse assures him that the baby is protected by _____ immunity
a. acquired b. passive c. active d. passive natural
Which of the following objective assessment findings are likely to be seen in clients who have successfully implemented relaxation techniques? (Select all that apply.)
1. Slower respirations 2. Lower blood sugar levels 3. Decreased heart rate 4. Lower blood pressure 5. Decreased deep reflexes 6. Warmer skin temperature
MC The nurse is teaching a group of elderly clients. The nurse should try to circumvent hearing loss by
A. Using a higher-pitched voice. B. Employing verbal teaching techniques. C. Facing the listener while speaking. D. Using background music.