Mental Health Evolve Adaptive Quizzing- Ch.25
The morning after he was admitted, a suicidal male patient wishes to use the cordless electric razor the staff took from his suitcase the night before. The nurse should
Allow him to use the razor under staff supervision
The nurse is talking with a patient admitted with depression. Which statement by a patient admitted with a diagnosis of chronic depression indicates the need for further assessment?
"I think things will be better soon."
A male patient separated from his spouse works as a social worker. The patient underwent an appendectomy 6 years ago. On examination the patient is physically and mentally healthy and has no complaints. According to the SAD PERSONS scale, what is the patient's score? Record your answer using a whole number.
2
A 27-year-old male patient is unable to sleep due to depression after the loss of a parent. The patient does not have a family or friends to talk to. The patient is otherwise healthy and never had any psychological illness. The patient does not drink alcohol or smoke cigarettes. According to the SAD PERSONS scale, what is the score of this patient?
4
A patient has a nursing diagnosis of risk of suicide. The nurse plans the care in such a way that the patient should be able to identify three positive aspects of himself by the end of the 4th week. The nurse makes the patient aware of his strengths and encourages the patient to evaluate positive and negative aspects of his own life. The nurse gives positive feedback to the patient and avoids giving any negative feedback. Which of the measures taken by the nurse needs correction?
Avoiding giving any negative feedback
Which patient statement indicates a possible plea for help? Select all that apply.
Correct 1 "I don't know where to go or who to talk to." Correct 4 "I can't keep relying on alcohol."
A nurse assesses five new patients admitted to a psychiatric unit. Which patients have the highest risk for suicide? Select all that apply.
Correct 1 88-year-old Caucasian male Correct 3 26-year-old Alaskan Native male Correct 5 17-year-old African American female
Based upon current information regarding successful suicide attempts among the male population, which factor is relevant? Select all that apply.
Correct 1 Access to firearms Correct 2 75 years of age and older Correct 3 History of alcohol consumption Correct 4 American Indian and Alaskan natives
Which statement is true regarding nonsuicidal self injury? Select all that apply.
Correct 1 Cutting and biting are common manifestations of this disorder. Correct 3 The patient generally has more than one method to inflict injury. Correct 4 The injuries can be a self-inflected means of punishment. Correct 5 Homosexuality may be a trigger for these behaviors.
When creating a suicide prevention plan for males, which intervention will be included? Select all that apply.
Correct 1 Minimizing access to firearms Correct 3 Publicizing community-based suicide prevention service facilities Correct 4 Providing community educational focusing on the identification of warning signs Correct 5 Identify strategies to minimize the stigma attached to seeking mental health services
Which intervention is required when a patient is being observed 1-to-1 to prevent a suicide attempt? Select all that apply.
Correct 1 Staff must remain within arm's length of the patient at all times Correct 2 Assure that the patient has no access to glass or metal objects Correct 3 Assess the patient's mouth after each medication administration Correct 4 Documentation should include the patient's verbatim statements
Which fact concerning the needs and wishes of suicide survivors should be considered when formulating interventions for this population? Select all that apply.
Correct 1 Suicide often is considered a taboo subject by society Correct 2 Surviving family and friends may experience both shame and guilt Correct 4 A family history of suicide is a strong risk factor for future suicide attempts Correct 5 Most surviving friends and relatives will not seek treatment despite their suffering
The nurse is teaching the nursing students about different risk factors for suicide. Which statement appropriately describes the risk factors? Select all that apply.
Correct 1 Suicide rates peak in men after the age of 45. Correct 4 Suicide rates peak in women after the age of 55. Correct 5 Suicides rates in men are 4 times higher than in women
Which situation is considered a protective factor against suicide? Select all that apply.
Correct 1 The patient is 5 months pregnant Correct 3 The patient has strong religious beliefs Correct 5 The patient has coped with the loss of a loved one
A nurse is giving postvention to the wife of a depressive patient who committed suicide. What statements indicate that the nurse understands postvention? Select all that apply.
Correct 2 "Don't be afraid to talk about your husband." Correct 5 "Donating your husband's belongings may help you let go."
What measures taken in a community can reduce the suicide rate among lesbian, gay, and bisexual (LGB) adolescents? Select all that apply.
Correct 2 Having a higher number of same-sex couples Correct 3 Having registered Democrats in a community Correct 4 The presence of gay-straight alliances in schools
What factor is considered when attempting to determine whether a person is maladaptively employing a copying mechanism? Select all that apply.
Correct 2 How often a mechanism is used Correct 3 How intensely the person relies on a mechanism Correct 4 The duration of time the person relies upon the mechanism
A registered nurse was appointed in charge of a psychiatric ward. What appropriate actions does the nurse take to keep patients safe in the ward? Select all that apply.
Correct 2 Lock the utility rooms, kitchen, and office Correct 4 Count the kitchen utensils daily
A pregnant woman seeks counseling after losing a parent. She informs the nurse that she has lost her job a few days ago and is aware of her responsibility for her family. Which factors put her at greater risk of suicide? Select all that apply.
Correct 2 Losing a job Correct 3 The death of her parent
A student nurse is observing a patient in the psychiatric ward. The student nurse assumes that the patient had parasuicidal behavior in the past. What appropriate signs does the student nurse find in the patient? Select all that apply.
Correct 2 Presence of scratches on the skin Correct 3 Ineffective wound healing
What situation is a risk factor for a completed or successful suicide? Select all that apply.
Correct 2 The depressed phase of bipolar disorder Correct 3 History of impulsive decision making Correct 4 Recent diagnosis of schizophrenia Correct 5 Being a lawyer or police officer
Which situation supports the fact that a patient has a lethal suicide plan? Select all that apply.
Correct 3 The woods behind the house is where the suicide will take place Correct 4 Patient plans to activate the plan on the anniversary of his divorce Correct 5 Jumping from the bridge the next time her voices tell her to kill herself
Nurses should assess the lethality of the patient's plan for suicide. What factor would be irrelevant to that assessment?
How long the patient has been suicidal.
Which provision would the patient agree to when entering into a no-suicide contract?
Not to attempt suicide in the next 24 hours
The nurse is conducting a suicide prevention program in a community. One of the patients, who is chronically depressed and lost his wife to an accident 2 weeks ago, asks the nurse, "How can I give my body to the anatomy department of the medical college?" What kind of intervention should the nurse consider in this patient?
Secondary
The nurse is assessing a group of people for the risk of suicide. These patients have lost their loved ones recently. One of the patients is very religious; another is under chemotherapy for breast cancer. Another patient is on clozapine (Clozaril) for schizophrenia, and the last patient is on lithium for a mood disorder. Which of these patients is at greatest risk of suicide?
The patient on chemotherapy for breast cancer