Author Question: A client often asks what life would be like if he had never been born or if he were to die. Which is ... (Read 51 times)

strangeaffliction · **on:** Jun 25, 2018

A client often asks what life would be like if he had never been born or if he were to die. Which is the client at risk for based on this data?

A) A suicide attempt
B) Suicide planning
C) A suicide threat
D) Suicidal ideation

Question 2

The nurse is proving care to a 1-hour old newborn who was born at 39 weeks' gestation. Which assessment data is cause for concern? Select all that apply.

A) Respiratory rate of 72 breaths per minute
B) Negative Babinski reflex
C) Mean blood pressure of 52 mmHg
D) Acrocyanosis
E) Presence of meconium stool

juicepod · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: D

Suicidal ideation is having thoughts of harming or killing oneself. A suicide is more serious than a casual statement of suicidal intent and is accompanied by other behavior changes, including mood swings, temper outbursts, a decline in school or work performance, personality changes, sudden or gradual withdrawal from friends, and other significant changes in attitude. A suicide attempt is a nonfatal, self-inflicted destructive act with explicit or inferred intent to die. The attempt may be thwarted by another individual or by circumstances, it may be planned to avoid serious injury, or it may be one in which the outcome depends on the circumstances and is not under the individual's control. A suicide plan is a decision to commit suicide and an identified method.

Answer to Question 2

Answer: A, B

Assessment data that would cause this nurse concern include a respiratory rate of 72 breathes per minute and a negative Babinski reflex. Respirations within 2 hours of delivery are expected to be between 60-70 breaths per minute. A positive Babinksi reflex is an expected finding. A negative Babinski could indicate neurological compromise. The nurse would expect a mean blood pressure of 52 mmHg (normal range is 50-55 mmHg), acrocyanosis, and passing meconium stool.