Answer to Question 1
ANS: D
Option D restates the purpose of the interview, shifting the focus off the nurse and back to the client
while remaining neutral. Option A remains nurse focused. Option B challenges the client. Option C
is accusatory.
Answer to Question 2
B
The SAD PERSONS tool evaluates 10 major risk factors in suicide potential: sex, age, depression,
previous attempt, ethanol use, rational thinking loss, social supports lacking, organized plan, no
spouse, and sickness. The tool does not have appropriate categories to provide information on the
other options listed.
Client on IV patient-controlled analgesia (PCA).
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Direct pressure to suboccipital muscles. Fingers press up into the cervical muscle attachments along ...
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Testing the Achilles tendon reflex with client in a supine position
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