The nurse is planning a presentation to a group of older adults on the topic of suicide in the population. One of the group participants asks who has the highest risk of suicide. Which response by the nurse would be most appropriate?

Correct Answer: D

Rationale: The correct answer is D because research shows that older men over 75 years who are divorced or widowed have the highest risk of suicide among older adults. This group faces social isolation, loss of social support, and higher rates of depression, making them more vulnerable. Choice A is incorrect as the number of prescriptions doesn't directly correlate with suicide risk. Choice B is incorrect because although depression is a risk factor, it's not the highest risk factor in this context. Choice C is incorrect as gender plays a significant role in suicide risk among older adults.

Correct Answer: C

Rationale: The correct answer is C because NCLEX drag-and-drop test items typically show a split computer screen where candidates can drag and drop items into different categories or sequences. This format allows for interactive and hands-on assessment of the test taker's understanding and application of concepts. This feature helps simulate real-world scenarios and test critical thinking skills. Choices A, B, and D are incorrect: A: They can use every answer option if designed to do so. B: They can test prioritization by requiring candidates to organize information or actions in a specific order. D: They do not make up 50 percent of test items; the percentage varies, and they are just one of the item types used in the NCLEX exam.

Correct Answer: C

Rationale: The correct answer is C: A domain of information. In the multiaxial diagnostic system of the DSM-IV-TR, each axis represents a specific domain of information for assessing an individual's mental health. Axis I represents clinical disorders, Axis II represents personality disorders and mental retardation, Axis III represents general medical conditions, Axis IV represents psychosocial and environmental stressors, and Axis V represents global assessment of functioning. The other choices are incorrect because they do not accurately describe the purpose of the axes in the multiaxial diagnostic system. A does not align with the purpose of the axes being domains of information, B is not relevant as the axes are not experimental designs, and D is incorrect as the axes do not represent laboratory test findings.

Correct Answer: B

Rationale: The correct answer is B: Assess the patient for a history of renal problems. Elevated BUN and creatinine levels indicate possible renal dysfunction, which can manifest as psychiatric symptoms. By assessing the patient for a history of renal problems, the nurse can gather important information to help determine the underlying cause of the symptoms. This step is crucial in identifying and addressing any potential medical issues contributing to the psychiatric presentation. Incorrect choices: A: Reporting the findings to the health care provider is important, but assessing the patient for a history of renal problems should be done first. C: Assessing the patient's family history for cardiac problems is not relevant to the elevated BUN and creatinine levels. D: Hospitalization on the psychiatric unit may not address the underlying medical issue causing the symptoms; assessing for renal problems is more appropriate.

Correct Answer: B

Rationale: The correct answer is B: DSM-V. The DSM-V (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) is the standard classification of mental disorders used by healthcare professionals, including nurses. It provides detailed diagnostic criteria for various mental health conditions, including anxiety disorders. The DSM-V is considered the most comprehensive and up-to-date resource for diagnosing mental health disorders. Incorrect Choices: A: Nursing Outcomes Classification (NOC) focuses on outcomes rather than diagnostic criteria for mental disorders. C: The ANA's Psychiatric-Mental Health Nursing Scope and Standards of Practice outlines the scope of practice for psychiatric-mental health nurses but does not provide diagnostic criteria. D: ICD-10 (International Classification of Diseases, Tenth Revision) is primarily used for coding and billing purposes and does not offer detailed diagnostic criteria for mental health disorders like anxiety disorders.