A nurse is providing care for a patient who has expressed suicidal intentions.
Which hould the nurse ask the patient?
What past experiences have led you to feel this desperate?
Can you explain how you plan to commit suicide?
What do you hope to achieve by ending your life?
Can you tell me why you feel so depressed that you want to end your life?
The Correct Answer is B
Choice A rationale
While understanding a patient’s past experiences can provide context for their current emotional state, it may not directly address the immediate risk of suicide. It’s important to focus on the present situation and the patient’s current feelings.
Choice B rationale
If a patient has a specific plan for suicide, it indicates a higher level of risk. By asking about their plan, the nurse can assess the immediacy and severity of the patient’s suicidal intent. This information is crucial for determining the appropriate level of care and intervention.
Choice C rationale
This question could be interpreted as validating or encouraging the patient’s suicidal thoughts. It’s essential to promote safety and positive coping strategies, rather than focusing on the perceived benefits of suicide.
Choice D rationale
While it’s important to understand the feelings driving a patient’s suicidal thoughts, asking why they want to end their life can come across as judgmental. It’s more helpful to ask about their feelings and listen empathetically.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While compromise can be a part of a therapeutic environment, it is not the primary goal. The goal of a therapeutic environment is to facilitate healing and recovery, which often involves collaboration between the patient and healthcare providers.
Choice B rationale
Participation can be a part of a therapeutic environment, but it is not the primary goal. The goal of a therapeutic environment is to facilitate healing and recovery, which often involves collaboration between the patient and healthcare providers.
Choice C rationale
Education can be a part of a therapeutic environment, but it is not the primary goal. The goal of a therapeutic environment is to facilitate healing and recovery, which often involves collaboration between the patient and healthcare providers.
Choice D rationale
Collaboration is a key goal of a therapeutic environment. This involves working together with the patient to facilitate their healing and recovery.
Correct Answer is A
Explanation
Choice A rationale
Given the client’s educational background and reading level, it’s important to provide instructions that are simple and straightforward. Telling the client when to take her medication in a clear, concise manner is most appropriate.
Choice B rationale
Using medical terms like “MAOI” (Monoamine Oxidase Inhibitor) could confuse the client, especially considering her educational background and reading level.
Choice C rationale
Using abbreviations like “q.d.”. (which stands for “quaque die”, meaning “once a day” in Latin) could also confuse the client.
Choice D rationale
While this instruction is accurate, it might be too complex for the client to understand.
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