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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Sodium 142 mEq/L: This is within the normal range for sodium (135-145 mEq/L) and does not indicate a problem that needs immediate attention.

B. Urine specific gravity 1.025: This value is on the higher end of the normal range for urine specific gravity (1.010-1.030) and indicates concentration of urine, which can occur in mild dehydration. It is not critical but indicates the need for monitoring.

C. Potassium 2.5 mEq/L: This is below the normal range for potassium (3.5-5.0 mEq/L) and indicates hypokalemia, which can cause serious cardiac issues and muscle weakness. It is a priority to correct this imbalance to prevent complications.

D. Blood glucose 110 mg/dL: This is within the normal range for blood glucose levels (70-110 mg/dL) for children and does not indicate an immediate concern related to dehydration.

A. Absent plantar reflexes B. Inwardly turned foot on the affected side C. Asymmetric thigh folds D. Lengthened thigh on the affected side

Correct Answer is C

Explanation

A. Absent plantar reflexes: This is not typically associated with DDH. DDH affects the hip joint's formation, not reflexes.

B. Inwardly turned foot on the affected side: This finding is more indicative of conditions like clubfoot, not DDH.

C. Asymmetric thigh folds: This is a common finding in DDH. The folds may appear uneven due to the displacement of the femoral head.

D. Lengthened thigh on the affected side: In DDH, the thigh on the affected side may actually appear shorter, not longer, due to hip dislocation.

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A nurse is collecting data from an adolescent. Which of the following represents the greatest risk for suicide?

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