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 B
Explanation
Choice A rationale
While personality disorders can occur among refugees, they are not reported to have a higher incidence among this population compared to the host population.
Choice B rationale
Depression is reported to have a higher incidence among refugees compared to the host population. The stressful and traumatic experiences that refugees often endure can contribute to the development of mental health issues such as depression.
Choice C rationale
Sexual abuse can occur among refugees, but it is not reported to have a higher incidence among this population compared to the host population.
Choice D rationale
Schizophrenia can occur among refugees, but it is not reported to have a higher incidence among this population compared to the host population.
Correct Answer is B
Explanation
Choice A rationale
A therapeutic area refers to a specific location or setting where therapeutic activities or treatments occur. However, it doesn’t necessarily imply a comprehensive environment designed to assist patients in replacing inappropriate behaviors with more effective personal and psychosocial skills.
Choice B rationale
A therapeutic environment, also known as a therapeutic milieu, is a broad term that describes settings designed to help patients replace inappropriate behaviors with more effective personal and psychosocial skills.
Choice C rationale
A therapeutic unit could refer to a specific department or team within a healthcare facility that provides therapeutic services. However, it doesn’t necessarily denote an environment designed for behavioral and psychosocial skill development.
Choice D rationale
A therapeutic setting could refer to any location where therapeutic services are provided. It’s a more general term and doesn’t specifically denote an environment designed to help patients replace inappropriate behaviors with more effective personal and psychosocial skills.
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