Susan, the nurse is caring for a client who states "I plan to commit suicide." Which of the following assessments should the nurse identify as the priority?

Lethality of the method and availability of means

Client's educational and economic background

Client's insight into the reasons for the decision.

Quality of the client's social support

Answer and Explanation

The Correct Answer is A

A. Lethality of the method and availability of means. Assessing the method and means helps determine the immediacy and seriousness of the threat. Knowing the lethality of the method and whether the means are readily available informs the level of intervention needed to keep the client safe.

B. Client's educational and economic background: While socioeconomic factors can influence mental health, they are not immediate priorities in a suicidal crisis.

C. Client's insight into the reasons for the decision: Insight is important for understanding motivations but is secondary to immediate safety concerns.

D. Quality of the client's social support: Social support is crucial but is secondary to assessing imminent risk of harm.

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Correct Answer is C

Explanation

A. Cold intolerance: Incorrect. Cold intolerance is associated with hypothyroidism, not hyperthyroidism.

B. Fatigue and lethargy: Symptoms typically seen in hypothyroidism.

C. Tremors and nervousness Correct Answer. Hyperthyroidism often presents with symptoms such as tremors (especially in the hands) and nervousness due to increased sympathetic activity. Increased metabolism and sympathetic nervous system activity lead to these symptoms.

D. Weight gain: Typically seen in hypothyroidism due to slowed metabolism.

A. "Medication is usually not prescribed to treat oppositional defiant disorder. Let's discuss some behavioral strategies you can use." B. There are many medications that will help your child manage aggression and destructiveness. The health care provider will discuss them with you." C. "Medication is not used to treat this oppositional defiant disorder because it is behavioral in nature." D. "It's a common misconception that there is a medication available to treat every health problem."

Correct Answer is A

Explanation

A. "Medication is usually not prescribed to treat oppositional defiant disorder. Let's discuss some behavioral strategies you can use." Behavioral interventions are the mainstay of treatment for ODD. Medications are not typically recommended unless there are comorbid conditions like ADHD or aggression that do not respond to behavioral interventions alone.

B. There are many medications that will help your child manage aggression and destructiveness. The health care provider will discuss them with you: This statement is misleading as medications are not first-line for ODD.

C. "Medication is not used to treat this oppositional defiant disorder because it is behavioral in nature.": This is an oversimplification; while primarily behavioral, medications might be considered in certain cases.

D. "It's a common misconception that there is a medication available to treat every health problem.": This statement dismisses the possibility of appropriate medication when needed.

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Susan, the nurse is caring for a client who states "I plan to commit suicide." Which of the following assessments should the nurse identify as the priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a characteristic sign of hyperthyroidism?

Correct Answer is C

Explanation

A nurse is teaching the parent of an adolescent who was recently diagnosed with oppositional defiant disorder (ODD). The parent asks, "Is there a medication that can help my child?" Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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