A nurse in a mental health facility is assessing a client.

• The client has a medical history of major depressive disorder for 20 years, anxiety disorder, suicide ideation during teenage years, and psychotherapy for the past 10 years with a therapist.
• The client's mother committed suicide when the client was 25 years of age, and the father died of heart disease 10 years ago.
• The client has a history of alcohol misuse, attended in-patient rehabilitation 4 years ago with no alcohol use since that time.
• The nurse notes indicate good physical health with no reported morbidities.

For each client assessment finding, specify if the finding is a potential risk for suicide or a protective factor against suicide.

The nurse should administer 2 tablets per dose.

Rationale:

Step 1: Determine the desired dose of diphenhydramine. The desired dose is 50 mg.

Step 2: Determine the available tablet strength. The available tablet strength is 25 mg.

Step 3: Divide the desired dose by the tablet strength to determine the number of tablets needed. 50 mg / 25 mg/tablet = 2 tablets

Therefore, the nurse should administer 2 tablets of diphenhydramine 25 mg per dose to achieve the desired dose of 50 mg.

Choice A rationale:

This response is dismissive and judgmental. It implies that the client's partner was wrong to share the news, and it does not acknowledge the client's feelings. This could make the client feel even more isolated and unsupported.

It's important to remember that the client is likely experiencing a range of emotions, including shock, sadness, anger, and anxiety. The nurse's role is to provide support and validation, not to judge the client's feelings or the actions of their partner.

Choice B rationale:

This response demonstrates empathy and understanding. It acknowledges the client's feelings and invites them to share more about their experience. This can help the client to feel heard and supported.

By verbalizing the client's feelings, the nurse is helping them to process the news and begin to cope with the situation. This can be a valuable first step in helping the client to develop a plan for moving forward.

Choice C rationale:

This response is dismissive and unhelpful. It does not acknowledge the client's feelings, and it offers no support or guidance. This could make the client feel even more hopeless and helpless.

While it may be true that there is not much the client can do about the situation immediately, the nurse can still offer support and help the client to explore their options.

Choice D rationale:

This response is premature and potentially unrealistic. The client may not be ready to contact their boss yet, and there is no guarantee that their job will be available to them. This could set the client up for disappointment and further distress.

It's important to allow the client to process the news and consider their options before taking any action. The nurse can help the client to identify potential resources and supports, and to develop a plan that is right for them.