A nurse is assessing a newly admitted client who states that they do not want to live anymore and plan to end their life. Which of the following actions should the nurse take?

Reassure the client that everything is going to work out.

Ask the client about the lethality of their plan.

Allow the client time alone to self-reflect

Encourage the client to focus on the positive aspects of life.

Answer and Explanation

The Correct Answer is B

Rationale:

A. Offering reassurance without addressing the client's immediate concerns may minimize the severity of the situation and delay necessary interventions.

B. Asking the client about the lethality of their plan is crucial for assessing the level of risk and determining the urgency of the intervention required. This information is essential for planning appropriate care and ensuring the client's safety.

C. Allowing the client to be alone is not appropriate when they have expressed suicidal intent, as this could increase the risk of self-harm.

D. Encouraging the client to focus on the positive aspects of life may be part of long-term therapy, but in the acute phase, the priority is to assess and address the immediate risk of suicide.

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Correct Answer is A

Explanation

Rationale:

A. The psychiatric pharmacist specializes in the management of medications for clients with mental health conditions and would be the most knowledgeable about potential interactions between psychiatric and diabetes medications.

B. A laboratory technician focuses on conducting lab tests and would not be the appropriate team member to consult regarding medication interactions.

C. While the primary provider oversees the overall care of the client, the psychiatric pharmacist is specifically trained to handle questions about medication interactions, making them the best resource in this scenario.

D. A psychologist typically addresses therapeutic interventions and behavioral therapies, not medication management, making them less suited to answer questions about drug interactions.

A. Denial B. Reaction formation C. Splitting D. Regression

Correct Answer is C

Explanation

Rationale:

A. Denial involves refusing to accept reality but is not as characteristic of borderline personality disorder as splitting.

B. Reaction formation involves behaving in a manner opposite to one's true feelings, which is not the primary defense mechanism in borderline personality disorder.

C. Splitting is a common defense mechanism in borderline personality disorder where the client views people or situations as all good or all bad, potentially causing conflict within the healthcare team.

D. Regression involves reverting to earlier developmental stages but does not typically cause division among healthcare providers.

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A nurse is assessing a newly admitted client who states that they do not want to live anymore and plan to end their life. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has schizophrenia and diabetes mellitus. The nurse is reviewing a list of the client's prescribed medications and has questions about interactions. To which of the following members of the interprofessional team should the nurse direct their questions?

Correct Answer is A

Explanation

A nurse is caring for a client who has borderline personality disorder. Which of the following defense mechanisms is commonly used by clients who have this disorder and has the potential to create division amongst the healthcare team?

Correct Answer is C

Explanation

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