A nurse is caring for a client who has just learned that their partner has died by suicide. Which of the following actions should the nurse take first?

Refer the client to a support group for survivors of suicide.

Offer to contact the client's family or support system.

Inform the client that feelings of guilt are often felt by survivors of suicide.

Determine the client's understanding of the suicide events.

Answer and Explanation

The Correct Answer is D

A reason: Refer the client to a support group for survivors of suicide. While referring the client to a support group is important for long-term support, it is not the immediate priority in this acute moment of grief.

B reason: Offer to contact the client's family or support system. Offering to contact family or support systems is supportive but not the first priority. The nurse should first assess the client's immediate emotional and cognitive state.

C reason: Inform the client that feelings of guilt are often felt by survivors of suicide. Providing information about common feelings of guilt can be helpful, but the nurse should first understand the client's current state and their specific needs.

D reason: Determine the client's understanding of the suicide events. The first priority is to assess the client's understanding and emotional response to the news. This helps the nurse provide appropriate support and address any immediate misconceptions or distress.

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Correct Answer is C

Explanation

A reason: Use detailed explanations when providing education to the client. While providing clear and concise explanations is important, overly detailed explanations may overwhelm a client with OCD. Simplifying communication can be more effective in reducing anxiety.

B reason: Maintain a stimulating environment for the client. A stimulating environment can increase anxiety and trigger obsessive-compulsive behaviors in clients with OCD. A calm and structured environment is more beneficial.

C reason: Provide the client with a structured schedule of daily activities. A structured schedule helps clients with OCD manage their time and reduces the likelihood of engaging in compulsive behaviors. It provides a sense of predictability and control, which can reduce anxiety.

D reason: Limit time for rituals to 30 minutes each day. While limiting the time for rituals is a goal, setting such a specific limit might initially increase anxiety. A more gradual approach to reducing ritual time, integrated within a structured schedule, is often more effective.

A. The client has a serotonin deficiency. B. The client has acute bronchitis. C. The client has an elevated calcium level. D. The client is an only child.

Correct Answer is A

Explanation

A reason: The client has a serotonin deficiency. A serotonin deficiency is a known biological risk factor for major depressive disorder. Low levels of serotonin in the brain can contribute to depressive symptoms.

B reason: The client has acute bronchitis. Acute bronchitis is a respiratory condition and is not a recognized risk factor for major depressive disorder.

C reason: The client has an elevated calcium level. Elevated calcium levels can indicate hyperparathyroidism but are not specifically associated with an increased risk of major depressive disorder.

D reason: The client is an only child. Being an only child is not a recognized risk factor for major depressive disorder. Risk factors are more commonly related to biological, psychological, and environmental factors.

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A nurse is caring for a client who has just learned that their partner has died by suicide. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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