The nurse uses the SAD PERSONS scale as he interviews a client who has expressed suicidal
ideation. This tool provides data relevant to
a. mood disturbance.
b. suicide potential.
c. current stress level.
d. level of anxiety.
B
The SAD PERSONS tool evaluates 10 major risk factors in suicide potential: sex, age, depression,
previous attempt, ethanol use, rational thinking loss, social supports lacking, organized plan, no
spouse, and sickness. The tool does not have appropriate categories to provide information on the
other options listed.
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A family agreed to bring all the children in to the clinic at one time to begin to catch up on the children's immunizations, but they didn't keep their appointment. Which of the following conclusions by the nurse would be most accurate?
a. Obtaining immunizations might have been the nurse's goal, not the family's. b. Some barrier or restraint interfered with the family's ability to come. c. The family had other, more important priorities. d. The nurse didn't adequately emphasize the importance of obtaining immunizations.
You are assessing clients on the eating disorder unit. You know that it is important to assess changes in bowel elimination or decreased urine output because they relate to what?
A) Multisystem organ failure related to excessive weight loss B) Laxative or diuretic use C) An acute physiologic response to the disease process D) Kidney failure brought on by starvation
Excessive fluid intake may lead to constipation
Indicate whether the statement is true or false.
During the first prenatal visit for a 20-year-old Hispanic woman, the nurse assesses the client's health beliefs and practices
Which questions are appropriate as part of this assessment? ________________ (Your answer should appear as numbers separated by commas and spaces [e.g., 1, 2, 3, 4].) 1. "Because all Hispanics speak Spanish, do you need me to find a translator?" 2. "What is the language that is usually spoken in your home?" 3. "How do you define health and illness?" 4. "Which Catholic church do you attend?" 5. "Do you have specific beliefs or preferences concerning food or food preparation?" 6. "Do you or the members of your family have certain beliefs and practices surrounding pregnancy and childbirth?"