After threatening to jump off a bridge, a client is brought to an emergency department by police. To assess for suicide potential, which question should a nurse ask first?
A. "Are you currently thinking about harming yourself?"
B. "Why do you want to harm yourself?"
C. "Have you thought about the consequences of your actions?"
D. "Who is your emergency contact person?"
ANS: A
The nurse should first assess the client for current suicidal thoughts to minimize risk of harm and provide appropriate interventions. A suicidal client is experiencing a psychiatric emergency. The crisis team should prioritize safety by assessing the client for thoughts of self-harm.
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Which organization developed standards of nursing practice that define holistic nursing practice as a specialty?
1. AHNA 2. ANA 3. NCCAM 4. ANCC
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A. Increased blood pressure B. Increased dependent edema C. Increased urine concentration of potassium D. Increased hematocrit and hemoglobin levels