Mental health EAQ #6 suicide exam 3

when presenting a workshop on adolescent suicide a community health nurse identifies which risk factors? select all that apply 1. victim of family violence 2. limited or strained family finances 3. member of a single parent household 4. dependence on alcohol, drugs, or both 5. uncertainty related to sexual orientation 6. repeated demonstration of poor impulse control

1. victim of family violence 4. dependence on alcohol, drugs, or both 5. uncertainty related to sexual orientation 6. repeated demonstration of poor impulse control

when caring for clients who are at risk for suicide what should the nurse consider? 1. a client who fails in a suicide attempt will probably not try again 2. formal suicide plans increase the likelihood that a client will attempt suicide 3. it is best not to talk to clients about suicide bc it may give them the idea 4. clients who talk about suicide are not planning it they are using the threat to gain attention

2. formal suicide plans increase the likelihood that a client will attempt suicide

a nurse is assessing several depressed clients which behavior should alert the nurse to closely monitor a client or a suicide attempt? 1. when the client doesnt eat 2. if the client describes a plan for suicide 3. if the client cant list any future goals 4. when the clients depressions appears to deepen

2. if the client describes a plan for suicide

a nurse plans to evaluate a newly admitted depressed clients potential for suicide what is the best response approach to obtaining this information? 1. questioning the client about plans for the future 2. inquiring whether the client is now considering suicide 3. discussing suicide with other clients while the client is in the group 4. asking family members whether the client has ever attempted suicide

2. inquiring whether the client is now considering suicide

a client is admitted to the surgical unit with superficial wounds of both wrists the result of a suicide attempt when the nurse enters the room the client says " i suppose youre going to ask me about my suicide attempt" what is the best response by the nurse? 1. do you want to talk about it 2. tell me how you feel about it 3. its best not to dwell on it rn 4. why do you think id ask you about it

2. tell me how you feel about it

a nurse who is talking to a client suspects the client has agoraphobia which of these responses by the client support the nurses suspicion? select all that apply 1. the client repeats words freq 2. the client is afraid to walk in parking lots 3. the client is withdrawing from friends and family 4. the client is afraid to venture out of the house alone 5. the client refuses to use a public bus for transportation

2. the client is afraid to walk in parking lots 4. the client is afraid to venture out of the house alone 5. the client refuses to use a public bus for transportation

a client has just been admitted with the diagnosis of borderline personality disorder there is a history of suicidal behavior and self mutilation what does the nurse remember is the main reason the clients use self mutilation 1. to control others 2. to express anger or frustration 3. to convey feelings of autonomy 4. to manipulate family and friends

2. to express anger or frustration

A nurse is interacting with a depressed, suicidal client. What themes in the client's conversation are of most concern to the nurse? Select all that apply. 1 Power 2 Betrayal 3 Loneliness 4 Hopelessness 5 Indecisiveness

3 Loneliness 4 Hopelessness

a depressed client says "im no good im better off dead" what is the priority nursing intervention? 1. responding "ill stay with you until youre less depressed" 2. replying "i think youre good you should think about living" 3. alerting the staff to schedule 24 hr observation of the client 4. unobtrusively removing those articles that may be used in suicide attempt

3. alerting the staff to schedule 24 hr observation of the client

suicide precautions are ordered for a newly admitted client what is the most therapeutic way to provide these precautions? 1. keeping the client in the lounge during the daytime 2. encouraging the client to express feelings freq 3. assigning a staff member to be with the client at all times 4. having a nursing aide observe the client every half hour at night

3. assigning a staff member to be with the client at all times

a nurse moves into the working phase of a therapeutic relationship with a depressed client who has a history of suicide attempts what question should the nurse asks the client when exploring alternative coping strategies? 1. how have you managed your problems in the past 2. what do you feel that youve learned from this suicide attempt 3. how will you manage the next time your problems start piling up 4. were there other things going on in your life that made you want to die

3. how will you manage the next time your problems start piling up

a nurse on a psychiatric unit has been working with a suicidal college student for 2 days which comment by the nurse indicated relief from suicidal thinking? 1. i can be a burden to others 2. i feel very alone sometimes 3. i plan to go to school next semester 4. i dont know whether i can talk about my feelings

3. i plan to go to school next semester

On the day after admission a suicidal client asks a nurse, "Why am I being watched around the clock, and why can't I walk around the whole unit?" Which reply is most appropriate? 1. why do you think were observing you 2. what makes you think were observing you 3. were concerned that you might try to harm yourself 4. were following your doctors instructions so there must be a reason

3. were concerned that you might try to harm yourself

a nurse in a mental health unit of the emergency department of a hospital frequently cares for adolescents who attempt suicide what is important for the nurse to remember about adolescent suicide behavior? 1. boys account for more attempts than do girls 2. girls use more dramatic methods than do boys 3. girls talk more about suicide before attempting it 4. boys are more likely to use lethal methods than are girls

4. boys are more likely to use lethal methods than are girls

a client is admitted to the mental health unit after attempting suicide when a nurse approaches the client is tearful and silent what is the best initial nursing intervention? 1. sitting quietly next to the client and waiting for the client to start speaking 2. observing the behavior, recording it, and notifying the HCP 3. saying "youre crying that means you feel bad about attempting suicide and really want to live" 4. saying "i see that youre crying tell me whats going on in your life and we can work on helping you"

4. saying "i see that youre crying tell me whats going on in your life and we can work on helping you"

a client confides to the nurse "ive been thinking about suicide lately" what conclusion should the nurse make about the client? 1. the client intends to frighten the nurse 2. the client wants attention from the staff 3. the client feels safe and can share feelings with the nurse 4. the client is fearful of the impulses and is seeking protection from them

4. the client is fearful of the impulses and is seeking protection from them

a client who attempted suicide by slashing her wrists is transferred from the emergency department to a mental health unity what importance nursing interventions must be implanted when the client arrives on the unit? select all that apply 1. obtaining vital signs 2. assessing for suicidal thoughts 3. instituting continous monitoring 4. initiating a therapeutic relationship 5. inspecting the bandages for bleeding

ALL

in which situation is the use of seclusion contraindicated? 1. the client has expressed severe suicidal thoughts 2. the client appears to want to be placed in seclusion 3. the client has been voluntarily admitted for treatment 4. the client had minimal improvement despite being secluded before

1. the client has expressed severe suicidal thoughts

what is a warning sign of suicide? 1. sleeping soundly 2. giving away prized possessions 3. spending more time with family 4. complaining about physical problems with organic causes

2. giving away prized possessions

A family member brings a relative to the local community hospital because the relative "has been acting strange." Which statements meet involuntary hospitalization criteria? Select all that apply. 1 "My boss makes me so angry—he's always picking on me." 2 "I cry all the time; I'm just so sad." 3 "Since I retired I've been so depressed." 4 "I'd like to end it all with sleeping pills." 5 "The voices say I should kill all prostitutes."

4 "I'd like to end it all with sleeping pills." 5 "The voices say I should kill all prostitutes."

an adolescent with a major depressive disorder is prescribed venlafaxine (Effexor) what signs or symptoms related to the medication should the nurse communicate immediately to the prescribing provider? select all that apply 1. blurred vision 2. suicidal ideation 3. difficult urination 4. tardive dyskinesia 5. transient hypoglycemia

1. blurred vision 2. suicidal ideation 3. difficult urination

the nurse is working with a client who talks freely about feeling depressed during the interaction the client states "things will never change" what findings support the nurses conclusion that the client is experiencing hopelessness? select all that apply 1. bouts of crying 2. self destructive acts 3. presence of delusions 4. feelings of worthlessness 5. intense interpersonal relationships

1. bouts of crying 2. self destructive acts 4. feelings of worthlessness

a client is admitted to the psychiatric unit for severe depression with the potential for suicide what is the most therapeutic nursing intervention when the client becomes more energized and communicative? 1. continuing to assess the client at reg intervals 2. encouraging the client to participate in group activities 3. giving the client more autonomy to decide about privileges 4. starting to teach the client about medications in preparation for discharge

1. continuing to assess the client at reg intervals

a female client is admitted to the hospital after attempting suicide she reveals that her desire for sex has diminished since her childs birth 3 years ago what is most directly related to the clients loss of interest in sex? 1. depression 2. dependency 3. martial stress 4. identity confusion

1. depression

a nurse caring for a hosptialized woman begins to suspect during assessment that the woman is experiencing domestic abuse which behavioral findings might lead the nurse to this suspicion? select all that apply 1. depression 2. suicide attempts 3. chronic pelvic pain 4. UTI 5. irritable bowel syndrome

1. depression 2. suicide attempts

a 25 yr old woman is seeking outpatient counseling after thinking about suicide the nurse realizes that there some factors place individuals at a higher risk for suicide which of these factors increases the risk for suicide? select all that apply 1. impulsivity 2. panic attacks 3. unemployment 4. religious beliefs 5. substance abuse 6. sense of responsibility to family

1. impulsivity 2. panic attacks 3. unemployment 5. substance abuse

a nurse has been caring for a suicidal client for 3 weeks on an inpatient unit one morning the client greets the nurse cheerfully and states "everything is looking up im not going to have problems for very long" what does the clients behavior and statement indicate? 1. increased risk of suicide 2. increased level of anxiety 3. positive response to treatment 4. resolution of suicidal ideation

1. increased risk of suicide

a student nurse is aware that the American Nurses Association (ANA) believes that practitioner-assisted suicide (PAS) is not consistent with the philosophy of nursing which ethical principles are not part of the basis for this ANA stand? select all that apply 1. justice 2. autonomy 3. beneficence 4. truthfulness 5. nonmaleficence

1. justice 2. autonomy 4. truthfulness

A hospitalized, depressed, suicidal client has been taking a mood-elevating medication for several weeks. The client's energy is returning and the client no longer talks about suicide. What should the nurse do in response to this client's behavior? 1. keep the client under closer oberservation 2. arrange for the client to have more visitors 3. engage the client in preliminary discharge planning 4. observe the client for side effects of the medication

1. keep the client under closer observation

which precautions should be taken for a client who may be inclined to attempt suicide in the hospital? select all that apply 1. staying with the client during meals 2. making sure the client swallows all meds 3. assigning a room close to the front desk of the unit 4. allowing visitors to leave unchecked gifts in the room 5. making freq therapeutic nonverbal contact w the client

1. staying with the client during meals 2. making sure the client swallows all meds 3. assigning a room close to the front desk of the unit