A nurse is observing clients in a mental health facility. Which of the following client behaviors should the nurse identify as a potential warning sign of suicide?
A client who frequently seeks reassurance from staff
A client who paces the hallways and reports difficulty sleeping
A client who begins giving away personal belongings to peers
A client who isolates during group activities and meals
The Correct Answer is C
Choice A reason:
Seeking reassurance indicates anxiety or insecurity but does not reflect imminent suicide risk. This behavior suggests dependency or fear but is not an indicator of preparing for suicide or disengaging from life.
Choice B reason:
Pacing and insomnia may be signs of anxiety, mania, or stress, but they are nonspecific. They do not directly suggest suicide preparation, and while they may increase agitation, they are not among the most recognized warning signs.
Choice C reason:
Giving away personal belongings is a well-established warning sign of suicide. This behavior often reflects the client's internal decision to end their life and indicates that they are preparing by settling unfinished business or ensuring possessions go to others. This shift can occur even when the client appears calmer, making it a critical behavior to recognize.
Choice D reason:
Isolation can be a concerning symptom of depression or withdrawal but is not as specific or imminent a warning sign as giving away belongings. It may increase risk but does not indicate a clear preparatory action toward suicide.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Expressing anticipation of seeing grandchildren indicates future orientation and hope, which are protective factors against suicide.
Choice B reason: Giving away possessions is a classic warning sign of suicidal intent. It suggests the client is preparing for death and making arrangements, which is a continuation of suicidal ideation.
Choice C reason: Walking and engaging in healthy coping strategies indicates improvement and reduced suicidal risk.
Choice D reason: Commitment to abstaining from alcohol reflects positive behavioral change and does not indicate suicidal ideation.
Correct Answer is C
Explanation
Choice A reason: This statement is coercive and threatening. It undermines autonomy and therapeutic rapport, potentially escalating resistance or agitation. It is not therapeutic communication.
Choice B reason: Ignoring self-care deficits fails to address the client’s needs. Poor hygiene is a common negative symptom of schizophrenia, and therapeutic intervention should encourage self-care in a supportive manner.
Choice C reason: This statement uses a structured, directive approach while offering the client a choice, which promotes autonomy. It sets clear expectations and provides limited options, reducing overwhelm and supporting engagement in self-care. This is therapeutic and effective.
Choice D reason: This statement is confrontational and judgmental. It may increase defensiveness and shame, which can worsen withdrawal and resistance. It is not therapeutic.
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