A patient is admitted with the diagnosis of a gunshot wound to the head due to a suicide attempt. While in the patient care unit, the plan of care should include which intervention?
Overlooking the patient's need to talk about the incident
Discontinuing any psychotropic medications
Validating the patient's worth and self-esteem
Limiting interaction with the patient due to antisocial behaviors exhibited by the suicide attempt
The Correct Answer is C
A. Overlooking the patient's need to talk is incorrect because ignoring their emotional distress may increase feelings of isolation and hopelessness.
B. Discontinuing psychotropic medications is incorrect as these medications may be essential in stabilizing mood and preventing further self-harm.
C. Validating the patient's worth and self-esteem is correct as it helps promote a sense of value, belonging, and hope, which are crucial in suicide prevention and recovery.
D. Limiting interaction with the patient is incorrect because social isolation can worsen depression and increase the risk of further self-harm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Administering an enema every third day may be too infrequent to effectively manage constipation. Enemas are generally not a first-line solution for constipation prevention in patients on long-term opioid therapy.
B. Constipation is nothing to worry about; take your medicine is incorrect because constipation is a common and preventable side effect of opioid use. It should be addressed proactively.
C. Only taking morphine when experiencing the most severe pain could lead to uncontrolled pain. It is important for cancer pain to be managed consistently, and adjusting the timing of medication is not recommended.
D. Increasing fluids and high-fiber foods, and using a mild laxative is the most appropriate recommendation. It helps prevent constipation, which is a common side effect of opioid use. Mild laxatives can also be helpful, but regular bowel care is essential.
Correct Answer is ["18"]
Explanation
- Calculate the total infusion time in minutes:
- 6 hours 60 minutes/hour = 360 minutes
- Calculate the total number of drops:
- 650 mL 10 gtt/mL = 6500 gtt
- Calculate the drops per minute:
- 6500 gtt / 360 minutes = 18.0555gtt/minute
- Round to the nearest whole number:
- 18 gtt/minute
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