A victim of a violent rape has been in the emergency department for 3 hours. Evidence collection is complete. As discharge counseling begins, the patient says softly, "I will never be the same again. I can't face my friends
There is no sense of trying to go on." Select the nurse's most important response.
a. "Are you thinking of suicide?"
b. "It will take time, but you will feel the same as before."
c. "Your friends will understand when you tell them."
d. "You will be able to find meaning in this experience as time goes on."
ANS: A
The patient's words suggest hopelessness. Whenever hopelessness is present, so is the risk for suicide. The nurse should directly address the possibility of suicidal ideation with the patient. The other options attempt to offer reassurance before making an assessment.
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NANDA International meets to reorganize diagnosis labels and language every ______ years
ANS:
When reviewing the medical records of several clients, the nurse understands that the use of anticoagulants is contraindicated in clients with which of the following medical conditions? Select all that apply
A) Leukemia B) Hypotension C) Atrial fibrillation D) GI ulcers E) Tuberculosis
The nurse is preparing to give an in-service to fellow staff members regarding the fact that many Americans cannot afford health insurance
The nurse plans to include which statement as a consequence of a client's not having health insurance? 1. The client's children are at risk of contracting diseases for which others are immunized. 2. Delays of diagnoses lead to a higher death rate. 3. Delays in health coverage for children put the health provider at risk for litigation. 4. Older adults are less likely to be treated for falls.
A nurse provides information to a client who is scheduled for cardiac catheterization to rule out coronary occlusion. The nurse should provide which information to the client?
A. The procedure is performed in the operating room B. It is necessary to lie quietly on a hard x-ray table for about 4 hours C. The room is bright and well lit, and it is best to keep the eyes closed D. The client may have feelings of warmth or flushing during the procedure