A nurse in a mental health facility is assessing a client.

Exhibits

For each client assessment finding, click to specify if the finding is a potential risk for suicide or a protective factor against suicide.

A. A semi-private room with a roommate who has a similar diagnosis is not the best choice. While it may seem appropriate to place the client with someone who has a similar diagnosis, the manic phase of bipolar disorder often involves excessive energy, impulsivity, and possible aggression. This could be disruptive to a roommate and may lead to safety concerns.
B. A seclusion room until the client's activity level becomes more subdued should not be the first step. Seclusion is typically used as a last resort for safety when the client is an imminent danger to themselves or others. It should not be used as a routine intervention for clients in the manic phase of bipolar disorder, as it can be traumatic and isolating.
C. A private room in a quiet location on the unit is not ideal because clients in the manic phase may feel more isolated and their agitation could worsen in a quiet, remote environment. They also need monitoring to prevent any potential safety risks.
D. A private room close to the nursing station is the best choice. A private room allows the client to have a safe space while minimizing distractions from other patients. Being close to the nursing station ensures that the client is easily monitored, which is important in the manic phase where there is often a high level of activity and potential for risky behaviors. Additionally, proximity to the nursing station allows the staff to intervene quickly if needed.

A. Hypocalcemia is not a risk factor for urolithiasis. In fact, hypercalcemia (high calcium levels) is a more common risk factor for the formation of calcium-based stones, which are the most common type of kidney stones.
B. Family history is correct. A family history of urolithiasis is a significant risk factor for developing kidney stones. Genetic factors can influence the likelihood of developing stones, especially those made of calcium oxalate or uric acid.
C. BMI less than 25 is incorrect. A BMI less than 25 (considered normal weight) is not typically associated with urolithiasis. In fact, obesity and a high BMI are known risk factors for kidney stone formation.
D. Diuretic use is incorrect, but it can increase the risk of urolithiasis in certain situations. Diuretics can cause dehydration or changes in urine composition, which might increase the risk of stone formation, but this is not as commonly recognized as a primary risk factor compared to others like family history.