A client notifies a treatment team member of current suicidal ideation. Which nursing intervention would take priority?

Assess for past history of suicide attempts.

Determine whether the client has a specific plan to commit suicide.

Identify coping mechanisms.

Notify all members of the treatment team and place the client on suicide precautions.

Answer and Explanation

The Correct Answer is D

D. Suicide precautions involve implementing safety measures and close monitoring to prevent the client from engaging in self-harm or suicide attempts. This may include continuous observation, removal of

potentially harmful objects or substances from the client's environment, and close supervision by staff members trained in suicide prevention.
A. Assessing for past suicide attempts can provide valuable information about the severity of the client's suicidal ideation, their previous experiences with suicidal behavior, and any patterns or triggers associated with suicidal crises. However, it is not a priority.
B. Assessing for a specific suicide plan allows the treatment team to evaluate the level of risk and urgency of intervention required to keep the client safe. However, with or without a plan, safety should be prioritized.
C. identifying coping mechanisms is important for overall mental health and well-being. However, it is not the priority intervention when a client reports current suicidal ideation.

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Correct Answer is B

Explanation

B. This is often a red flag that the client may not be free to act or speak on their own behalf, which is a common situation among victims of human trafficking.
A. A non-working cell phone alone may not be sufficient evidence to conclusively suspect human trafficking, as there could be various reasons for a phone not working.
C. Human traffickers often exploit victims by transporting them across state or international borders under false pretenses, such as offering a vacation or job opportunity. However, it's crucial to gather more information and assess the client's situation further before jumping to conclusions.
D. Language diversity is common in healthcare settings and may not always be indicative of trafficking.

A. strong positive feelings lead to underinvolvement with the victim. B. awareness protects one's own mental health. C. strong negative feelings interfere with assessment and judgment. D. positive feelings promote the development of sympathy for clients.

Correct Answer is C

Explanation

C. This awareness is crucial because personal emotions can cloud professional judgment, leading to bias in assessing the situation and making decisions. It's important for healthcare professionals to maintain a level of emotional detachment in order to provide the most objective and effective care.
A. Positive feelings alone are not likely to lead to underinvolvement. Instead, the risk lies more in becoming overly empathetic or emotionally attached, which could cloud judgment or compromise professional objectivity.
B. Recognizing and acknowledging one's own feelings while working with families experiencing domestic violence can help prevent emotional burnout and maintain mental well-being. However, this does not relate directly to domestic violence.
D. Experiencing only positive feelings without acknowledging the complexities and challenges of the situation may hinder the nurse's ability to provide comprehensive care and support to the victim.

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A client notifies a treatment team member of current suicidal ideation. Which nursing intervention would take priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care for a client who is malnourished and appears exhausted. What data would cause the nurse to suspect the client is a victim of human trafficking? The client :

Correct Answer is B

Explanation

The rationale for the nurse needing to be aware of their own feelings while working with the family experiencing domestic violence is best explained as:

Correct Answer is C

Explanation

A nurse is caring for a 10-year old child with Intellectual Developmental Disorder who has an IQ of 45. Which child capability would the nurse expect to observe? The child:

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