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tfester

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The feeling experienced by a client that should be assessed by the nurse as most predictive of
  elevated suicide risk is
 
  a. anger.
  b. hopelessness.
  c. elation.
  d. sadness.

Question 2

A client tells the nurse that I'm told that I should reduce the stress in my life, but I have no real idea
  what things create stress for me and no idea of where to start..
 
  The nursing diagnosis the nurse
  should consider for this client is
  a. ineffective coping.
  b. defensive coping.
  c. decisional conflict.
  d. ineffective denial.



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6ana001

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Answer to Question 1

B
Of the feelings listed, hopelessness is most closely associated with increased suicide risk.
Depression, aggression, impulsivity, and shame are other feelings noted as risk factors for suicide.

Answer to Question 2

ANS: A
Only Option A relates to the data given. The definition of this nursing diagnosis is the inability to
form a valid appraisal of the stressors, inadequate choices of practiced responses, or inability to use
available resources. Option B: Defensive coping involves projection of a falsely positive
self-evaluation based on a self-protective pattern that defends against underlying perceived threats to
positive self-regard. Option C: Decisional conflict speaks to uncertainty about the course of action to
be taken when the choice among competing actions involves risk, loss, or challenge to personal life
values. Option D: Ineffective denial suggests attempts to disavow the knowledge or meaning of an
event to reduce anxiety, which lead to the detriment of health.




6ana001

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