a. An adolescent Asian American girl with superior athletic and academic skills who
has asthma b. A 38-year-old single, African American female church member with fibrocystic
breast disease c. A 60-year-old married Hispanic man with 12 grandchildren who has type 2
diabetes d. A 79-year-old single, white male diagnosed recently with terminal cancer of the
prostate ANS: D
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High-risk factors include being an older adult, single, male, and having a co-occurring medical illness. Cancer is one of the somatic conditions associated with increased suicide risk. Protective factors for African American women and Hispanic individuals include strong religious and family ties. Asian Americans have a suicide rate that increases with age.
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PTS: 1 DIF: Cognitive Level: Analyze (Analysis) REF: Pages 25-5, 6, 50 (Box 25-1), 52 (Box 25-2) TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
nd
MULTIPLE RESPONSE
an
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risk? (Select all that apply.) a. 82-year-old white male b. 17-year-old white female c. 22-year-old Hispanic male d. 19-year-old Native American male e. 39-year-old African American male
_a
1. A nurse assesses five newly hospitalized patients. Which patients have the highest suicide
ANS: A, B, D
es
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Whites have suicide rates almost twice those of nonwhites, and the rate is particularly high for older adult males, adolescents, and young adults. Other high-risk groups include young African American males, Native American males, and older Asian Americans. Rates are not high for Hispanic males.
ay
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PTS: 1 DIF: Cognitive Level: Analyze (Analysis) REF: Pages 25-5, 6, 50 (Box 25-1), 52 (Box 25-2) TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 2. Which nursing interventions will be implemented for a patient who is actively suicidal?
eB
(Select all that apply.) a. Maintain arm’s length, one-on-one direct observation at all times. b. Check all items brought by visitors and remove risk items. c. Use plastic eating utensils; count utensils upon collection. d. Remove the patient’s eyeglasses to prevent self-injury. e. Interact with the patient every 15 minutes. ANS: A, B, C
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