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Question
Review the client's health information in the EHR. When the nurse is about to leave, Mr. Lightfoot states, "My best friend died in my car accident. He died, and I was left half a man with tubes keeping me alive." Which additional client statements during this interchange cause the nurse to expedite a referral for counseling or further intervention? Select the correct answer in each row. Indicates need for further intervention Does not indicate need for further intervention "We missed my follow-up appointment because mom couldn't get me down the ramp." "We found an agency to deliver supplies to our home." "I don't want you to come again." "Would you want to live like this?" "I want to stop the home health aide; I don't need a bath every other day." "I use marijuana daily to calm my nerves." "We have loaded guns in the house. This reservation is not always safe." "My cousin is really helping us; she comes the days the home health aide is not here." "I am starting to do trach care on my own." "The social worker helped us sign up for Medicaid and Social Security Disability benefits."
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