A severely depressed client who has been on suicide precautions tells the nurse "I am feeling a lot
better, so you can stop watching me. I have taken too much of your time already.". The best response
for the nurse to make would be
a. "I wonder what this sudden change is all about. Care to elaborate?"
b. "I am glad you are feeling better. The team will consider what you have said.".
c. "You should not try to direct your plan for care. Leave that to the team.".
d. "Because we are concerned about your safety, we will continue with our plan.".
D
When a client seeks to have precautions lifted by professing to feel better, the client may be seeking
greater freedom in which to attempt suicide. Changing the treatment plan requires careful evaluation
of outcome indicators by staff. Option A will not cause the client to admit to a suicidal plan. Option
B does not convey concern for the client. Option C remonstrates the client and suggests the client is
not a partner in the care process.
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The nurse is part of a committee examining ways to most effectively meet the goals of Healthy People 2020. Which of the following clients would be the nurse's highest priority client?
1. A 16-year-old girl with her first pregnancy 2. A diabetic client who maintains optimal visual intactness 3. An IV drug abuser who converts to methadone use 4. Several obese school-age children
An adolescent patient tells the nurse, "I just don't want to live anymore." What should the nurse do next?
A) Document the adolescent's statement in the patient record. B) Sit down and discuss all the reasons there are for living. C) Make an immediate referral to a suicide-prevention professional. D) Laughingly, teach the adolescent about making scary statements.
MC The client had an open wound and was splashed with contaminated body fluid. The diseases the client is most at risk for include
A. All of the hepatitis diseases. B. Human immunodeficiency virus and only hepatitis C. C. HIV, and hepatitis B, C, and D. D. Salmonellosis, typhoid, and HIV.
Convert BT's height and weight from metric to English and determine his IBW