A nurse answers a suicide crisis line. A caller says, "I live alone in a home several miles from my nearest neighbors. I have been considering suicide for 2 months. I have had several drinks and now my gun is loaded. I'm going to shoot myself in the heart." How would the nurse assess the lethality of this plan?
Moderate level
High level
No risk
Low level
The Correct Answer is B
A. Moderate level would suggest a plan that has some risk but may be less imminent or less likely to result in death.
B. A plan involving a loaded gun aimed at a vital organ like the heart, coupled with alcohol consumption and intent, indicates a high level of lethality.
C. This scenario presents a significant risk given the method and the caller's intent, so "No risk" would not be appropriate.
D. Low level would suggest a plan that is less likely to cause severe harm or death, which is not the case here.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Identifying the problem or clinical question is indeed the initial step in the EBP process, as it involves recognizing an issue or a gap in current knowledge or practice.
B. Reviewing effectiveness typically falls within the implementation phase of EBP, not necessarily the final step.
C. EBP emphasizes using research evidence over personal experiences to guide practice.
D. EBP involves multiple steps that typically include more than four distinct phases, such as identifying the problem, gathering evidence, implementing interventions, and evaluating
outcomes.
Correct Answer is D
Explanation
A. While assessing depression is crucial, in a situation following a suicide attempt, the immediate safety of the client takes precedence.
B. While ensuring the client's nutrition is important, safety regarding the recent suicide attempt is the priority.
C. This is relevant to the situation but doesn't directly address the immediate risk of self-harm or suicide.
D. Given the client's history of a suicide attempt and the present situation, initiating measures to ensure the client's safety and prevent any further harm, such as suicide precautions, is the priority.
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