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.
The nurse assists the patient in reflecting on his feelings
Client on IV patient-controlled analgesia (PCA).
Nurse examining and measuring hematuria sample from client with a UTI
Testing the client’s ability to feel vibrations, the toe
Testing the Achilles tendon reflex with client in a supine position