A nurse is caring for a client who is threatening to commit suicide. Which of the following questions should the nurse ask?

"What happened to you in the past to make you so desperate?".

"What will you accomplish by taking your life?".

"How will you carry out your plan?".

"Why do you feel depressed enough to end your life?".

Answer and Explanation

The Correct Answer is C

This question is important because it helps the nurse assess the level of risk and determine the appropriate intervention.
It is important to take all threats, communications, and suggestions regarding suicide seriously.
Choice A is not correct because it focuses on past events rather than the current situation.
Choice B is not correct because it may come across as confrontational and may not be helpful in assessing the level of risk.
Choice D is not correct because it focuses on the reason for feeling depressed rather than assessing the level of risk and determining appropriate intervention.

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Correct Answer is A

Explanation

A positive urine hCG test is a priority assessment to assess for a possible pregnancy.
The human chorionic gonadotropin (hCG) hormone is produced by the placenta after implantation and can be detected in the urine of pregnant women.
A urine hCG test is a common method used to confirm pregnancy.

Choice B is not an answer because changes in uterine size and shape occur later in pregnancy and are not a priority assessment for early pregnancy detection.
Choice C is not an answer because a fetal heartbeat can usually be detected at around 6-7 weeks of pregnancy and is not a priority assessment for early pregnancy detection.
Choice D is not an answer because Chadwick’s sign, which refers to the bluish discoloration of the cervix, vagina, and vulva due to increased blood flow, occurs later in pregnancy and is not a priority assessment for early pregnancy detection.

A. 18 weeks after fertilization. B. 6 weeks after fertilization. C. 12 weeks after fertilization. D. Incomplete question/stem.

Correct Answer is B

Explanation

“6 weeks after fertilization.” Teratogens can begin affecting the developing embryo as early as 10 to 14 days after conception 1.
During embryonic development, there are periods when the developing organ systems show more sensitivity to teratogens.
Choice A is incorrect because 18 weeks after fertilization is not the earliest stage of pregnancy when exposure to a teratogenic agent could occur.
Choice C is incorrect because 12 weeks after fertilization is not the earliest stage of pregnancy when exposure to a teratogenic agent could occur.
Choice D is incorrect because this is not an incomplete question/stem.

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A nurse is caring for a client who is threatening to commit suicide. Which of the following questions should the nurse ask?

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Naxlex Comprehensive Predictor Exams

The nurse is conducting an annual examination on a young female who reports her last menses was 2 months ago. Although the client insists she is not pregnant due to a negative home pregnancy test, which assessment should the nurse prioritize to assess for a possible pregnancy?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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