When assessing an individual with depression, it is important for the clinician to:
A. Ask if there are thoughts of suicide
B. Ask if there is a plan for suicide
C. Ask if the individual wants to harm others
D. All of the above
ANS: D
Clinical depression often involves recurrent thoughts of death, recurrent suicidal ideation without a specific plan, or a suicidal attempt or a specific plan for committing suicide.
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The nurse identifies actions that might assist the family of the terminally ill client, including: Standard Text: Select all that apply
1. Suggesting placement in a hospice unit instead of home care. 2. Allowing family to visit ad lib. 3. Reinforcing information that family members might not have absorbed. 4. Reorienting the client who is hallucinating. 5. Asking direct questions about needs.
The nurse knows that which statement is true regarding the pain experienced by infants?
a. Pain in infants can only be assessed by physiologic changes, such as an increased heart rate. b. The FPS-R can be used to assess pain in infants. c. A procedure that induces pain in adults will also induce pain in the infant. d. Infants feel pain less than do adults.
The major stimulus/stimuli for regulating ADH is/are
A) plasma osmolality. B) changes in extracellular fluid (ECF) volume. C) arterial blood pressure changes. D) All of the above are correct.
When caring for a client who has received a mydriatic medication, the nurse should:
a. Instruct the client not to drive until the medication wears off. b. Assess the client for glaucoma and cataracts. c. Instruct the client to keep eyes closed for six hours. d. Encourage the client to wear sunglasses.