The feeling experienced by a patient that should be assessed by the nurse as most predictive of elevated suicide risk is

anger.

elation.

hopelessness.

sadness.

Answer and Explanation

The Correct Answer is C

A. Anger is a common emotion in psychiatric patients but is less predictive of suicide risk.

B. Elation may occur in some mood disorders but is not strongly associated with imminent suicide risk.

C. Hopelessness is the feeling most strongly correlated with suicidal ideation and attempts, making it a key predictor for elevated suicide risk.

D. Sadness is a symptom of depression but alone does not reliably predict suicide risk without accompanying hopelessness.

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Correct Answer is C

Explanation

A. This involves memory loss due to brain injury or alcohol abuse, not acute fluctuating confusion.

B. Alzheimer’s causes progressive, irreversible memory decline that develops gradually, not suddenly over 2 days.

C. Delirium is characterized by acute onset, fluctuating levels of orientation, confusion, speech changes, and impaired gait, often triggered by medications, infections, or metabolic issues.

D. Dementia develops slowly and progressively, not suddenly like delirium.

A. drink twice the usual dally amount of fluid. B. double the lithium dose if diarrhea or vomiting occurs. C. maintain normal salt and fluids in the diet. D. avoid eating aged cheese, processed meats, and red wine.

Correct Answer is C

Explanation

A. Patients do not need to double fluid intake, just maintain adequate hydration (2–3 L/day). Drinking twice the usual amount could lead to fluid overload or dilute sodium balance.

B. Lithium should never be doubled. In fact, vomiting and diarrhea increase risk of lithium toxicity, so the provider must be notified instead.

C. Lithium excretion is closely tied to sodium and fluid balance. A stable diet with normal salt and adequate fluid intake helps prevent fluctuations in lithium levels and reduces risk of toxicity.

D. Avoiding aged cheese, processed meats, and red wine is teaching for MAOI therapy (to prevent hypertensive crisis due to tyramine), not for lithium.

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The feeling experienced by a patient that should be assessed by the nurse as most predictive of elevated suicide risk is

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult patient takes multiple medications daily. Over 2 days, the patient developed confusion, slurred speech, an unsteady galt, and fluctuating levels of orientation. These findings are most characteristics of

Correct Answer is C

Explanation

A health teaching plan for a patient taking lithium should include instructions to

Correct Answer is C

Explanation

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