A client has made a successful suicide attempt while hospitalized on a unit that specializes in the treatment of depression. When considering both milieu control and crisis management, which intervention will the nursing staff implement?

Every client will be questioned concerning the impact the suicide had on him or her personally.

All group therapy sessions will be held on the unit for at least a 72-hour period.

Suicide precautions for a full 24 hours will be implemented for all clients.

A client-focused psychological postmortem assessment will be conducted immediately.

Answer and Explanation

The Correct Answer is C

A.   While assessing the impact of a suicide attempt on others is important, the immediate focus following a successful suicide attempt in a mental health unit is to ensure the safety of all clients.
B.   Restricting group therapy for 72 hours might impede the therapeutic process and does not directly address the safety of clients after a suicide attempt.
C.   Following a suicide attempt, it's standard practice to heighten monitoring and implement suicide precautions for all clients to ensure their safety.
D.   While assessing the situation is important, immediate intervention to prevent further harm to other clients is a priority following a suicide attempt. The psychological assessment might occur but would not be the primary intervention in this immediate crisis situation.

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Correct Answer is A

Explanation

A. This statement demonstrates the nurse's willingness to spend time with the patient to build rapport and trust, offering the nurse's presence and support.
B. This statement expresses hope but doesn't directly offer the nurse's presence or support.
C. This question encourages exploration of the patient's feelings but doesn't directly offer the nurse's presence.
D. This statement shares personal experiences but doesn't directly offer the nurse's presence or support.

A. Suicide is an impulsive act. B. As depression lifts, physical energy becomes available to carry out suicide. C. Suicide may be precipitated by a variety of internal and external events. D. Suicidal patients have difficulty using social supports.

Correct Answer is B

Explanation

A. While impulsive actions can contribute to suicide, it doesn't specifically relate to monitoring during antidepressant therapy.
B. Monitoring is crucial because as depressive symptoms improve, the energy levels may increase before mood stabilizes, potentially increasing the risk of acting on suicidal thoughts.
C. While true, this statement doesn't specifically address the need for monitoring during antidepressant therapy.
D. This statement highlights a potential issue for suicidal patients but doesn't directly relate to the need for monitoring during antidepressant therapy.

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A client has made a successful suicide attempt while hospitalized on a unit that specializes in the treatment of depression. When considering both milieu control and crisis management, which intervention will the nursing staff implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse interacts with a newly hospitalized patient. Which nursing statement reflects the communication technique of "offering self"?

Correct Answer is A

Explanation

Which statement provides the best rationale for why a nurse should closely monitor a severely depressed patient during antidepressant medication therapy?

Correct Answer is B

Explanation

When assessing a patient's plan for suicide, what aspect has priority?

A nurse is caring for a client who has depression. The client refuses to get out of bed, go to activities, or participate in any of the unit's programs. Which of the following responses should the nurse make?

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Which institution-specific clinical practice resource will the nurse use to integrate evidence- based practice (EBP) into the care of a client hospitalized for the purpose of the evaluation of his or her current therapy plan?

A nurse is discussing legal exceptions to client confidentiality with nursing staff. Which of the following statements by a staff member indicates an understanding of the teaching?