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 A
Explanation
Choice A rationale
When a nurse is educating a patient about the side effects of a prescribed medication, they are playing the role of a teacher. In this role, the nurse provides information and guidance to help the patient understand their medication and manage its side effects.
Choice B rationale
The role of a change agent involves facilitating changes in behavior or perspectives, often in relation to lifestyle changes or health behaviors. While education can be a part of this role, it is not the primary focus when a nurse is educating a patient about medication side effects.
Choice C rationale
The role of a therapist involves providing therapeutic interventions, often in relation to mental health issues. While a nurse can play this role, it is not the primary role when educating a patient about medication side effects.
Choice D rationale
The role of a technician involves performing technical tasks and procedures. While a nurse can play this role, it is not the primary role when educating a patient about medication side effects.
Correct Answer is B
Explanation
Choice A rationale
Therapy can be beneficial for children with disruptive behavioral disorders, but it is not the most effective intervention when implemented alone. Therapy often works best when combined with other strategies, such as consistent limit-setting.
Choice B rationale
Limit-setting is a crucial component of early interventions for children with disruptive behavioral disorders like conduct disorder and oppositional defiant disorder. Consistent limit-setting provides structure and clear expectations, which can help these children understand the consequences of their actions and learn to control their behavior. It is considered the most effective strategy because it directly addresses the behavioral issues that these children often struggle with.
Choice C rationale
While rewarding good behavior can be a useful strategy in managing disruptive behavioral disorders, it is not the most effective intervention when used alone. Rewards can encourage positive behavior, but without the structure provided by consistent limit-setting, children may not fully understand the connection between their actions and the consequences.
Choice D rationale
Punishment can sometimes be a part of the strategy for managing disruptive behavioral disorders, but it is not the most effective intervention. Over-reliance on punishment can actually exacerbate behavioral problems, as it does not teach children appropriate behaviors or help them understand the consequences of their actions.
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