The parents of an adolescent who attempted suicide review the events that led to this action. Symptoms such as depression, loneliness, and sleep disturbances were most likely present for how long before the suicide attempt?
a. 1 year
b. 6 months
c. 1 month
d. 6 weeks
C
Symptoms are usually present for 1 month before the attempt.
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A patient is unable to read even the largest letters on the Snellen chart. The nurse should take which action next?
a. Refer the patient to an ophthalmologist or optometrist for further evaluation. b. Assess whether the patient can count the nurse's fingers when they are placed in front of his or her eyes. c. Ask the patient to put on his or her reading glasses and attempt to read the Snellen chart again. d. Shorten the distance between the patient and the chart until the letters are seen, and record that distance.
A patient presents to the emergency department and says, "I am so dizzy that it is scaring me." Monitoring reveals the patient's blood pressure is 78/52 mmHg and heart rate is 44 beats per minutes. Which nursing intervention is indicated?
1. Administer antianxiety medication. 2. Administer atropine. 3. Instruct the patient to cough forcefully. 4. Monitor the patient while contacting the primary care provider.
A patient with a vein thromboembolism is to be started on oral warfarin (Coumadin) while still receiving intravenous heparin. What is the nurse's best action?
a. Administer the drugs as prescribed. b. Remind the prescriber that two anticoagulants should not be administered con-currently. c. Hold the dose of warfarin until the patient's activated partial thromboplastin time is the same as the control value. d. Monitor the patient for clinical manifestations of internal or external bleeding at least every 2 hours.
A student nurse tells the instructor, "I'm concerned that when a client asks me for advice I won't have a good solution." Which should be the nursing instructor's best response?
A. "It's scary to feel put on the spot by a client. Nurses don't always have the answer." B. "Remember, clients, not nurses, are responsible for their own choices and decisions." C. "Just keep the client's best interests in mind and do the best that you can." D. "Set a goal to continue to work on this aspect of your practice."