A person who states "I'm going to kill myself" does not usually mean it

You are having a difficult time controlling bleeding from a small skin avulsion on a patient's ankle. Which of the following statements made by the patient best explains why the bleeding has been so difficult to control?

a. "I take Coumadin (an anticoagulant) for my irregular heartbeat." b. "My blood pressure sometimes runs a little high." c. "I take steroids for my lung disease." d. "I drank a lot of alcohol last night."

While standardized forms (such as birth and death certificates) are important and very useful, many times the information listed on the certificate may not be complete. List the reasons why this happens.

What will be an ideal response?