Nokea
A school nurse is speaking to the mother of a 16-year-old male adolescent. The mother has concerns about her son. Which of the following statements by the mother should indicate to the nurse that the adolescent is at risk for suicide?
- A. He is very religious and attends services twice a week.
- B. His cousin committed suicide a few weeks ago.
- C. He has slept 9 hours each night for the past 2 years.
- D. He spends much of his time with his two school friends.
Correct Answer: B
Rationale: The correct answer is B because a significant risk factor for suicide is having a close family member who has died by suicide. It indicates a potential increased vulnerability due to exposure to suicide and the impact of grief. Choice A (religious) and D (socially connected) are protective factors that can reduce suicide risk. Choice C (consistent sleep) is not directly related to suicide risk.
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Give Dobutamine 5.5 mcg/kg/min. The drug is available as 750 mg in 500 ml of fluid. The client weighs 220 pounds. Calculate mcg/min, mcg/hr, and ml/hr. (Include the unit of measure for each answer).
Correct Answer: 22
Rationale: To calculate mcg/min: 5.5 mcg/kg/min * 220 lb * (1 kg/2.2 lb) = 1,100 mcg/min. To convert mcg/hr: 1,100 mcg/min * 60 min/hr = 66,000 mcg/hr. To find ml/hr: 750 mg / 500 ml = 1.5 mg/ml. 5.5 mcg/kg/min * 220 lb * (1 kg/2.2 lb) = 1,100 mcg/min. 1,100 mcg/min * 60 min/hr = 66,000 mcg/hr. 66,000 mcg/hr / 1,000 = 66 mg/hr. 66 mg/hr / 1.5 mg/ml = 44 ml/hr. Therefore, the correct answer is 22 mcg/min, 66,000 mcg/hr, and 44 ml/hr. Other choices are
Which of the following factors may contribute to an increased risk of suicide?
- A. Engaging in regular physical exercise
- B. Having a positive self-esteem
- C. Having a strong social support system
- D. Experiencing a history of trauma or abuse
Correct Answer: D
Rationale: The correct answer is D: Experiencing a history of trauma or abuse. Research shows that individuals who have experienced trauma or abuse are at a higher risk of suicide due to the psychological impact of such experiences. Trauma can lead to feelings of hopelessness, worthlessness, and despair, increasing suicidal ideation. Now, let's analyze why the other choices are incorrect. A: Engaging in regular physical exercise can actually reduce the risk of suicide by improving mental health and overall well-being. B: Having a positive self-esteem is also a protective factor against suicide as it fosters resilience and coping skills. C: Having a strong social support system is crucial in preventing suicide, as it provides emotional support and a sense of belonging, therefore decreasing the risk.
A nurse is talking with the guardian of a school-aged child recently diagnosed with intermittent explosive disorder (IED). The guardian says,My child is impulsive, acts out aggressively, and then seems pleased with themselves. How can my child be happy? Which of the following responses should the nurse make?
- A. Appearing pleased after an aggressive or impulsive act has not been directly linked to intermittent explosive disorder.
- B. Appearing pleased after an aggressive or impulsive act can be a sense of relief rather than being happy.
- C. Appearing pleased after an aggressive or impulsive act is a manifestation of lack of empathy or compassion.
- D. Appearing pleased after an aggressive or impulsive act is within the control of your child.
Correct Answer: B
Rationale: Correct Answer: B
Rationale: The nurse should choose response B because it addresses the guardian's concern accurately. Individuals with intermittent explosive disorder may experience a sense of relief rather than genuine happiness after acting out aggressively. This relief can stem from a temporary release of pent-up emotions or stress. It is important for the nurse to clarify this distinction to the guardian to help them understand their child's behavior better and guide appropriate interventions.
Incorrect Choices:
A: This response dismisses the guardian's observations and does not provide a helpful explanation.
C: This response inaccurately suggests a lack of empathy or compassion, which is not a defining characteristic of intermittent explosive disorder.
D: This response implies that the behavior is under the child's control, which is not necessarily the case with impulsive disorders like IED.
A nurse is caring for a client diagnosed with schizophrenia. The client states,Did you know that I am engaged to the Prince of England? The nurse should document that the client is experiencing which of the following types of delusions?
- A. Persecution
- B. Erotomanic
- C. Somatic
- D. Control
Correct Answer: B
Rationale: The correct answer is B: Erotomanic delusion. This type of delusion involves the false belief that someone, typically of higher status or unreachable, is in love with the individual. In this case, the client believes they are engaged to the Prince of England, indicating an erotomanic delusion. Choice A: Persecution delusion involves believing one is being targeted or mistreated. Choice C: Somatic delusion involves beliefs about bodily functions. Choice D: Control delusion involves beliefs about external control. These are not applicable in the scenario described.
Claudette, the nurse, is conducting group therapy with a group of clients. Which of the following statements made by a client is an example of aggressive communication
- A. I feel angry when you leave me.
- B. I wish you would not make me angry.
- C. It makes me angry when you interrupt me.
- D. You'd better listen to me.
Correct Answer: D
Rationale: The correct answer is D because it is an example of aggressive communication. The statement "You'd better listen to me" is forceful, directive, and implies a threat if the listener does not comply. This type of communication lacks respect for the other person's feelings and boundaries. In contrast, choices A, B, and C express personal feelings and thoughts without being demanding or confrontational. Choice A uses "I feel" to express emotions, choice B expresses a wish without placing blame, and choice C explains a reaction to a specific behavior without being forceful. Therefore, D stands out as the only example of aggressive communication in the given options.