Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a client who is threatening to commit suicide. Which of the following questions should the nurse ask?
A. "What happened to you in the past to make you so desperate?".
Choice A is not correct because it focuses on past events rather than the current situation.
B. "What will you accomplish by taking your life?".
Choice B is not correct because it may come across as confrontational and may not be helpful in assessing the level of risk.
C. "How will you carry out your plan?".
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.
D. "Why do you feel depressed enough to end your life?".
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.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Custom- Wn23 NS122 Proctored Exam. Take the full exam now
Full Explanation
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.
Similar Questions
A client at 27 weeks' gestation still walks daily but reports 'terrible' heartburn at night.
Which action should the nurse recommend to best address this situation?
A. Stop or severely curtail her exercise.
Choice A is not correct because exercise is generally safe during pregnancy and can have many benefits.
B. Take sodium bicarbonate.
Choice B is not correct because sodium bicarbonate may not be safe for pregnant women to take.
C. Seek emergency medical care.
Choice C is not correct because heartburn during pregnancy is common and usually does not require emergency medical care.
D. Elevate the head of the bed.
This can help prevent stomach acid from moving up into the esophagus and causing heartburn at night.
Full Explanation
This can help prevent stomach acid from moving up into the esophagus and causing heartburn at night.
Choice A is not correct because exercise is generally safe during pregnancy and can have many benefits.
Choice B is not correct because sodium bicarbonate may not be safe for pregnant women to take.
Choice C is not correct because heartburn during pregnancy is common and usually does not require emergency medical care.
A nurse is collecting data from a 3-month-old infant.
Which of the following findings should the nurse report to the provider?
A. The infant is unable to roll from the back to the abdomen.
Choice A is not correct because it is normal for a 3-month-old infant to be unable to roll from back to abdomen.
B. The infant is unable to use a pincer grasp to pick up objects.
Choice B is not correct because it is normal for a 3-month-old infant to be unable to use a pincer grasp to pick up objects.
C. The infant is unable to raise his head when in a prone position.
By 3 months old, most babies can lift their heads and chest up from a belly-down position.
D. The infant is unable to sit without support.
Choice D is not correct because it is normal for a 3-month-old infant to be unable to sit without support.
Full Explanation
By 3 months old, most babies can lift their heads and chest up from a belly-down position.
Choice A is not correct because it is normal for a 3-month-old infant to be unable to roll from back to abdomen.
Choice B is not correct because it is normal for a 3-month-old infant to be unable to use a pincer grasp to pick up objects.
Choice D is not correct because it is normal for a 3-month-old infant to be unable to sit without support.
The nursing instructor is leading a discussion on the physical changes to a woman's body after the delivery of the baby.
The instructor determines the session is successful after the students correctly point out which process results in the return of nonpregnant size and function of the female organs?
A. Evolution.
Choice A is not correct because evolution refers to the gradual development of something.
B. Decrement.
Choice B is not correct because decrement refers to a reduction in size or value.
C. Progression.
Choice C is not correct because progression refers to the process of developing or moving gradually toward a more advanced state.
D. Involution.
Involution is the process by which the uterus returns to its nonpregnant size and function after delivery.
Full Explanation
Involution is the process by which the uterus returns to its nonpregnant size and function after delivery.
Choice A is not correct because evolution refers to the gradual development of something.
Choice B is not correct because decrement refers to a reduction in size or value.
Choice C is not correct because progression refers to the process of developing or moving gradually toward a more advanced state.