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A nurse on an acute care mental health unit is examining the belongings of a client who is being admitted following a suicide attempt. Which of the following belongings should the nurse ask the client's partner to take back home? (Select All that Apply.)

A.

Nylon socks

B.

Glass framed picture of the client's partner

C.

Lace-up tennis shoes

D.

Cotton underwear

E.

Necklace

Question Solution

Correct Answer : B,C,E

Rationale:

 

A. Nylon socks are generally not considered a risk for self-harm and can be safely kept with the client.

 

B. A glass-framed picture presents a risk as the glass could be broken and used for self-harm. This item should be taken home.

 

C. Lace-up tennis shoes have long laces that could be used for self-harm, making them unsafe for a client at risk of suicide.

 

D. Cotton underwear does not pose a significant risk for self-harm and can be kept with the client.

 

E. A necklace could be used for self-harm, such as strangulation, and should be taken home to ensure the client's safety.


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View Related questions

Correct Answer is A

Explanation

Rationale:

A. Dental decay is a common result of frequent vomiting in bulimia nervosa due to exposure of teeth to stomach acid.

B. Bulimia nervosa often involves fluctuations in weight rather than a consistently lower weight, as it includes binge eating episodes.

C. Hypokalemia (low potassium) is more commonly associated with bulimia due to vomiting rather than hyperkalemia (high potassium).

D. Amenorrhea (absence of menstruation) may occur in bulimia nervosa but is less specific than dental decay for the condition.

Correct Answer is D

Explanation

Rationale:

A. An inverted P wave is not specifically associated with hypokalemia; it can be seen in various other conditions.

B. An elevated ST segment is not characteristic of hypokalemia; it is more associated with other conditions such as myocardial ischemia.

C. A wide QRS complex can occur with hypokalemia but is also seen in other conditions.

D. An abnormally prominent U wave is a classic sign of hypokalemia and can be seen in EKG changes associated with low potassium levels.

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