A nurse is assisting with the development of a community health education class about suicide prevention. Which of the following information should th nurse identify as risk factors for suicide? (Select all that apply.)

A. Lithium has a narrow therapeutic index, meaning the difference between a therapeutic dose and a toxic dose is small. Frequent monitoring allows for early detection of rising lithium levels, preventing toxicity.
B. While monitoring lithium levels is important for overall treatment, it's not primarily used to identify relapse.
C. Lithium primarily affects the kidneys, not the liver. Liver function tests are important for overall health monitoring but are not the primary reason for frequent lithium level checks.
D. While this is a goal, the primary reason for such frequent monitoring is to prevent toxicity, which can occur rapidly.

A. It’s important for a nurse to address the behavior immediately and to establish expectations for acceptable conduct. However, while this statement is firm, it does not offer immediate guidance or intervention on how to resolve the situation or manage emotions.
B. This statement is not appropriate in this context because it incorrectly assumes the behavior was physical (hitting) rather than verbal (yelling). It also places the client on the defensive and may not
effectively address the immediate situation. Instead of focusing on why the behavior occurred, it’s more
important to manage and de-escalate the current situation first.
C. This response is punitive and does not address the immediate issue or the underlying causes of the behavior. While setting consequences may be part of a broader behavior management plan, immediate actions should focus on de-escalation and safety rather than punishment. Additionally, consequences should be proportionate and ideally involve a discussion with the client about their behavior and its impact.
D. This statement is not effective because it shifts the focus from the immediate behavior to a vague notion of disappointment, which may not address the situation constructively. It’s important for the nurse to be clear about the expectations for behavior and to provide immediate guidance on managing emotions and conflicts.