1NGN FOCUS: MENTAL HEALTH . SUICIDE ASSESSMENTSCENARIO:An adolescent client with conduct disorder arrives at the emergency department afterthreatening suicide to a teacher at school. The nurse is gathering additional assessment data.VITAL SIGNS (for context):•Temperature 36.9DC (98.4aF), HR 88/min, RR 18,'min, BP 108/70 mm HgQUESTION:Which of the following statements should the nurse include during the assessment?A. "Tell me about your siblings?’1B. "Tell me what kind of music you like?"C. "Tell me how7often you drink alcohol9"D. ’’Tell me about your school schedule?"CORRECT ANSWER:C. "Tell me how often vou drink alcohol?"EXPERT RATIONALE:•Assessing, for substance use, including alcohol, is critical in adolescents with conductdisorder and suicidal ideation, as substance misuse can exacerbate mental healthissues.•Options A, B, and D can offer general psychosocial information but do not directlyaddress a risk factor (substance use) that could contribute significantly to suicidalbehavior.2.NGN FOCUS: MEDIC AL-SURGICAL PRIORITIZATION /HYPOPARATHYROIDISMSCENARIO:A nurse on an acute medical-surgical unit is performing shift assessments on multiple clientswith varying diagnoses.VITAL SIGNS (for context):Preview Mode
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