A nurse is collecting data from an adolescent. Which of the following represents the greatest risk for suicide?
Active psychiatric disorder
Availability of firearms
Family conflict
Homosexuality
The Correct Answer is A
A. Active psychiatric disorder: The presence of an active psychiatric disorder, such as depression or anxiety, is the most significant risk factor for suicide. Mental health disorders can severely affect an adolescent's emotional and psychological well-being, increasing the risk of suicidal thoughts and behaviors.
B. Availability of firearms: While access to firearms increases the risk of successful suicide, it is a secondary risk factor compared to the presence of a psychiatric disorder, which is more directly linked to the development of suicidal ideation.
C. Family conflict: Family conflict is a risk factor for emotional distress and can contribute to suicidal thoughts, but it is less significant than having an active psychiatric disorder, which directly impacts the adolescent's mental health.
D. Homosexuality: While LGBTQ+ youth are at higher risk for suicide due to factors like discrimination and lack of support, the presence of an active psychiatric disorder remains a more critical and direct risk factor for suicide.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Heart rate 110/min: A heart rate of 110 beats per minute is within the normal range for a 4-year-old child. The typical heart rate for this age is between 80 to 120 beats per minute.
B. Capillary refill greater than 3 seconds: Capillary refill time should be less than 2 seconds in a healthy child. A refill time greater than 3 seconds may indicate poor perfusion or dehydration, which is abnormal.
C. Weight gain of 0.9 kg (2 lb) in a year: A weight gain of 2 pounds in a year is below the expected range for a 4-year-old. Children in this age group typically gain around 4-5 pounds per year as they grow.
D. Respiratory rate 32/min: The normal respiratory rate for a 4-year-old child is typically between 20 to 30 breaths per minute. A rate of 32/min is slightly elevated and may indicate respiratory distress or other issues.
Correct Answer is C
Explanation
A. Supine: Lying on the back can limit lung expansion and is not the best position for a child with respiratory issues. It can contribute to atelectasis and does not facilitate effective breathing.
B. Prone: The prone position can improve oxygenation and ventilation, particularly in severe respiratory distress, but it may not be the most comfortable or practical for all patients, especially in a non-ICU setting.
C. Upright: Sitting upright or in a high Fowler's position is optimal for lung expansion. It facilitates easier breathing and helps the lungs expand more fully, allowing for better oxygenation.
D. Side-lying: Side-lying may be comfortable but does not provide as much benefit for lung expansion as the upright position. It is less effective in promoting maximal lung expansion compared to the upright position.
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