A client commits suicide in an acute mental health facility. Which of the following is the priority intervention for staff following this incident?

Change policies for staff observation of clients who are suicidal.

Identify cues in the client's behavior that might have warned them that he was contemplating suicide.

Provide professional counseling for staff members.

Give the family an opportunity to talk about their feelings.

Answer and Explanation

The Correct Answer is B

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Correct Answer is A

Explanation

A.Lithium is excreted through the kidneys, and dehydration and sodium depletion increase the risk of lithium toxicity. A client who runs 4 miles outdoors every afternoon is at risk of excessive sweating and fluid loss, which can lead to dehydration and sodium depletion. This reduces lithium excretion, leading to toxic levels in the blood.

B. Anormal sodium intake helps maintain lithium balance. A low sodium intake increases lithium retention, but 2-3 grams/day is within the normal recommended range.

C. Adequate hydration helps prevent lithium toxicity. Clients on lithium should drink 2–3 liters of fluid daily to promote kidney function and lithium excretion.
D. Tyramine-rich foods (e.g., aged cheese, cured meats) are a concern for clients on monoamine oxidase inhibitors (MAOIs), not lithium. Tyramine does not affect lithium levels.

A. Start intravenous fluids. B. Administer diazepam. C. Obtain a medical history. D. Raise the side rails of the bed.

Correct Answer is D

No explanation

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A client commits suicide in an acute mental health facility. Which of the following is the priority intervention for staff following this incident?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

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