Nokea
The nurse is answering phone calls at a local suicide prevention hotline. Which statement would be recognized as the greatest risk of suicide?
- A. I just needed to talk to someone to keep myself from thinking silly thoughts about killing myself.'
- B. My parents aren't home and won't be back for 4 hours. That should be enough time for the pills to work. I've got a hundred of them.'
- C. My dad will be home first, so he'll find me. So I think I'll use his gun. I hope he didn't lock the cabinet.'
- D. My girlfriend is here with me. She told me to call because I was talking crazy about killing myself.'
Correct Answer: B
Rationale: The risk of death increases when there is a definite plan of action, the means are readily available, and the person has few resources for help and support.
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When the nurse is collecting a nursing history, an adolescent states that she has tried speed. For what does the nurse recognize this as the street name?
- A. Barbiturates
- B. Cocaine
- C. Methamphetamine
- D. Marijuana
Correct Answer: C
Rationale: Speed' is the street name for methamphetamine.
The nurse is assessing a 16-year-old female for characteristics of anorexia nervosa. Which assessment finding(s) would lead the nurse to suspect the possibility of this diagnosis? (Select all that apply.)
- A. Amenorrhea
- B. Severe weight loss
- C. Oily skin
- D. Hypertension
- E. Lanugo on back
Correct Answer: A,B,E
Rationale: Primary symptoms of anorexia nervosa include severe weight loss, amenorrhea, and lanugo hair over the back and extremities.
How would the nurse identify a member of the child guidance team who is a medical doctor with special training in psychoanalytic theory?
- A. Psychiatrist
- B. Psychoanalyst
- C. Psychologist
- D. Counselor
Correct Answer: A
Rationale: The psychiatrist is a medical doctor with special training in psychoanalytic theory.
What role has the child of an alcoholic assumed if he tries to do everything perfectly?
- A. Perfect child
- B. Super coper
- C. Flight
- D. Helper
Correct Answer: B
Rationale: The super coper is a child of an alcoholic who tries to do everything perfectly and feels overly responsible.
The nurse asks, 'Do your parents drink every day?' The adolescent suddenly shouts, 'I'm not going to talk about that! It's none of your business, anyway! Leave me alone!' How does the nurse interpret the adolescent's behavior?
- A. The adolescent is acting out and needs to be brought under control so the conference can continue.
- B. The adolescent is trying to shift the focus of the conference away from himself, and the nurse needs to refocus.
- C. The adolescent is demonstrating that this problem requires the assistance of a psychiatrist.
- D. The adolescent is responding to the discrediting of his parents, which causes anxiety.
Correct Answer: D
Rationale: Discrediting parents threatens the child's security and creates anxiety.