A 29-year-old woman with a history of nonsuicidal self-injury (NSSI) presents to the PMHNP for a psychiatric evaluation. The PMHNP suspects she has borderline personality disorder. She denies current suicidal ideation but reports having suicidal "feelings" in the past. Which of the following tools will the PMHNP use to determine future suicide risk?
Patient Health Questionnaire 9 (PHQ-9)
Suicide Behaviors Questionnaire-Revised (SBQ-R)
Acquired Capability for Suicide Scale-Fearlessness about Death (ACSS-FAD)
Interpersonal Needs Questionnaire (INQ)
The Correct Answer is B
Choice A reason: The PHQ-9 is a depression screening tool that includes one item on suicidal ideation. While useful for identifying depression and some suicide risk, it is not designed to assess comprehensive suicide risk, especially in individuals with borderline personality disorder.
Choice B reason: The SBQ-R is specifically designed to assess suicide risk. It evaluates lifetime suicidal ideation and attempts, frequency of ideation, threat of suicide, and self-reported likelihood of future suicidal behavior. It is validated for use in both clinical and non-clinical populations and is particularly useful in assessing risk in individuals with borderline personality disorder.
Choice C reason: The ACSS-FAD measures fearlessness about death, which is a component of the interpersonal theory of suicide. While it provides insight into one aspect of suicide risk, it does not assess overall risk or history of suicidal behavior.
Choice D reason: The INQ assesses perceived burdensomeness and thwarted belongingness, which are psychological states associated with suicide risk. However, it does not directly evaluate suicidal behavior or intent, making it less comprehensive than the SBQ-R.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Beneficence refers to actions that promote the well-being of others. It involves doing good and preventing harm, but it does not specifically address the concept of equal treatment or fairness across individuals.
Choice B reason: Justice is the ethical principle that emphasizes fairness and equality. In nursing, justice requires that care be provided impartially, without discrimination based on age, gender, socioeconomic status, ethnicity, or other factors. It ensures that all patients are treated with equal respect and dignity, making it the most appropriate answer to this question.
Choice C reason: Respect is a foundational value in nursing ethics, particularly in honoring patient autonomy and dignity. However, it is not the principle that specifically mandates equal treatment across all individuals. Justice more directly addresses equality.
Choice D reason: Fidelity refers to faithfulness and loyalty, particularly in keeping promises and maintaining trust with patients. While it is essential to ethical nursing practice, it does not encompass the idea of equal respect for all individuals.
Correct Answer is B
Explanation
Choice A reason: An ethical dilemma occurs when two or more ethical principles are in direct opposition, and choosing one compromises the other. In this case, the PMHNP is not facing two competing ethical principles but rather a conflict between her values and the family's request.
Choice B reason: Ethical conflict arises when a healthcare provider’s personal or professional values clash with external pressures or requests, such as those from family members. Here, the PMHNP’s commitment to honesty and patient autonomy is in conflict with the family's desire to withhold information, making this a clear ethical conflict.
Choice C reason: Moral relativism is a philosophical stance that suggests moral judgments are based on cultural, societal, or personal perspectives, and no universal standard exists. While the family's reasoning may reflect moral relativism, the situation itself is not an example of this concept.
Choice D reason: Virtue signaling refers to expressing moral values primarily to gain approval or social status, often without genuine commitment. The PMHNP’s concern is rooted in professional ethics, not performative morality, so this term does not apply.
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