A 16-year-old female client who attempted suicide that morning is admitted to the psychiatric unit. To determine the seriousness of the adolescent's suicide attempt, which question is most important for the nurse to ask the family?

"How long has she seemed depressed?"

"Has she ever attempted suicide before?"

"Has anything occurred which might have precipitated this suicide attempt?"

"How did she attempt to kill herself?"

Answer and Explanation

The Correct Answer is D

Choice A: Inquiring about how long the adolescent has seemed depressed is important for assessing the client's overall mental health history, but it may not provide immediate information about the seriousness of the suicide attempt.

Choice B: Asking about any previous suicide attempts is important for understanding the client's history and risk factors, but it does not directly assess the seriousness of the current attempt.

Choice C: Inquiring about any precipitating events is essential for understanding the context and triggers for the suicide attempt, but it may not be the most immediate question to assess seriousness.

Choice D: Asking "How did she attempt to kill herself?" is the most crucial question to assess the seriousness of the suicide attempt. It provides critical information about the method used, which can help determine the lethality of the attempt and guide immediate interventions and safety measures.

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Correct Answer is B

Explanation

Choice A: Weight loss history and body surface area (BSA) are relevant factors to consider when assessing nutritional status, but they are not the most indicative parameters on their own.

Choice B: Body mass index (BMI) and serum albumin level are two of the most indicative parameters for assessing nutritional status. BMI provides information about body weight relative to height, while serum albumin level is a common marker of nutritional status and protein intake.

Choice C: Triceps skinfold and mid-arm circumference are anthropometric measurements that can provide additional information about muscle and fat stores in the body, but they are not as widely used or as indicative as BMI and serum albumin level.

Choice D: 24-hour food recall, food preferences, and allergies are important to assess but do not provide immediate indicators of nutritional status. They are valuable for understanding dietary habits and preferences.

A. Chicken salad on toast, fruit-flavored yogurt, and iced tea. B. Taco salad, refried beans, low fat ice cream and coffee. C. Bacon. lettuce, and tomato sandwich, grapes, and skim milk D. Canned cream of mushroom soup, tuna salad, and water.

Correct Answer is C

Explanation

Choice A: have higher sodium content, so they are not the best choices for someone with elevated serum sodium levels.

Choice B: have higher sodium content, so they are not the best choices for someone with elevated serum sodium levels.

Choice C: Skim milk, grapes, and lettuce are good sources of water that can help dilute the sodium level in the blood. Bacon is a high-sodium food, but it is a small portion compared to the other choices and can be balanced by the rest of the meal.

Choice D: this combination contains higher sodium levels, especially canned soup, so it's not the ideal choice.

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A 16-year-old female client who attempted suicide that morning is admitted to the psychiatric unit. To determine the seriousness of the adolescent's suicide attempt, which question is most important for the nurse to ask the family?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is admitting an older client with possible malnutrition. Which parameters are most indicative of the client's nutritional status?

Correct Answer is B

Explanation

A client has a serum sodium level of 155 mEq/L (155 mmol/L). The nurse should encourage the client to make which selection from the lunch menu. Reference Range Sodium [Reference Range: Adult 136 to 145 mEq/L or 136 to 145 mmol/L]

Correct Answer is C

Explanation

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