During an admission assessment, a client reports currently using heroin. Which information is most important for the nurse to consider in the plan of care?
Family history of schizophrenia.
History of suicide attempts.
Undiagnosed social anxiety symptoms (SAD).
Feelings of disorientation.
The Correct Answer is B
A. Family history of schizophrenia is relevant but not immediately critical.
B. A history of suicide attempts indicates a high risk of self-harm and requires immediate attention in the plan of care.
C. Social anxiety symptoms are important but not as critical as addressing suicide risk.
D. Disorientation needs assessment but is not as urgent as managing suicide risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Family history of schizophrenia is relevant but not immediately critical.
B. A history of suicide attempts indicates a high risk of self-harm and requires immediate attention in the plan of care.
C. Social anxiety symptoms are important but not as critical as addressing suicide risk.
D. Disorientation needs assessment but is not as urgent as managing suicide risk.
Correct Answer is D
Explanation
A. Documenting manually does not correct the issue with missing the barcode scan.
B. Overriding the medication system could bypass safety checks and is not appropriate in this situation.
C. Calling the pharmacy for the barcode number is not necessary if the packaging can be retrieved.
D. Recovering the barcode packaging from the trash can allows the nurse to properly scan the barcode, ensuring accurate medication administration and adherence to safety protocols.
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