A nurse is working with a client who has suicidal ideation. Which intervention should the nurse implement to promote hope in the client?

Encourage isolation to minimize potential stressors.

Assist the client in creating a safety plan.

Teach the client relaxation techniques.

Focus solely on the client's past failures.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Encouraging isolation to minimize potential stressors is not a appropriate intervention for a client with suicidal ideation. Isolation can exacerbate feelings of loneliness and hopelessness, which can further contribute to the client's distress.

Choice B rationale:

Assisting the client in creating a safety plan is a crucial intervention for a client with suicidal ideation. A safety plan helps the client identify strategies and resources to use when they experience overwhelming emotions or thoughts of self-harm. This plan provides a sense of control and practical steps to follow during times of crisis, promoting hope that they can manage their emotions and stay safe.

Choice C rationale:

Teaching the client relaxation techniques is a valuable intervention, but it may not directly address the immediate need for a safety plan. Relaxation techniques can be helpful for managing anxiety and stress, but they might not be sufficient to prevent self-harm or suicide attempts.

Choice D rationale:

Focusing solely on the client's past failures is counterproductive and can further erode the client's self-esteem and hope. It's important to focus on the client's strengths, coping skills, and the potential for positive change rather than dwelling on past difficulties.

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Correct Answer is A

Explanation

Choice A rationale:

This statement indicates a clear and direct expression of suicidal ideation. The phrase "wish all of this would end" strongly implies a desire for one's life to end, which is a significant concern in assessing a patient with suicidal thoughts. Immediate intervention is necessary to ensure the patient's safety and address their emotional distress.

Choice B rationale:

This statement, "I have been feeling really down lately," expresses a general sense of sadness and low mood. While it suggests emotional distress, it does not explicitly convey a direct intention for self-harm or suicide. However, it should not be ignored and should be explored further during the assessment.

Choice C rationale:

"I've been making a list of things I want to do before I die" is a statement that may have different implications. While it could relate to the patient's interests and goals, it does not necessarily indicate a current intent for suicide. It is important to clarify the context and content of the list before drawing any conclusions.

Choice D rationale:

"I think things might get better if I reach out to my friends" suggests that the patient is considering seeking support from friends, which is generally a positive coping strategy. This statement does not express an immediate risk of self-harm or suicide. However, it's still essential to evaluate the patient's overall emotional state and social support.

A. Identifying and challenging positive thoughts. B. Recognizing the signs and symptoms of suicide risk. C. Promoting alcohol consumption as a stress-relieving strategy. D. Encouraging isolation during times of distress.

Correct Answer is B

Explanation

Choice A rationale:

Identifying and challenging positive thoughts is a cognitive-behavioral strategy that can be beneficial for managing mental health, but it is not the top priority in suicide prevention education. While it contributes to overall emotional well-being, recognizing signs of suicide risk is more directly relevant to preventing self-harm.

Choice B rationale:

Recognizing the signs and symptoms of suicide risk is crucial for early intervention and support. Educating clients and their families about these signs, such as increased isolation, giving away possessions, or talking about death, enables them to identify when someone might be in danger and take appropriate action.

Choice C rationale:

Promoting alcohol consumption as a stress-relieving strategy is inappropriate in a suicide prevention context. Alcohol can exacerbate emotional distress and impair judgment, potentially leading to impulsive behaviors, including self-harm. This choice goes against safe and effective strategies for managing distress.

Choice D rationale:

Encouraging isolation during times of distress is counterproductive and potentially harmful. Isolation can exacerbate feelings of loneliness and hopelessness, increasing the risk of suicidal ideation and actions. Connecting with a support network is a more appropriate recommendation during times of distress.

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A nurse is working with a client who has suicidal ideation. Which intervention should the nurse implement to promote hope in the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient with suicidal ideation. Which statement made by the patient requires immediate intervention?

Correct Answer is A

Explanation

A nurse is providing education to a client and their family about suicide prevention. Which information should the nurse prioritize in the education?

Correct Answer is B

Explanation

(Select all that apply): A nurse is establishing a therapeutic relationship with a patient at risk for suicide. Which of the following skills should the nurse use to build rapport and trust with the patient?

(Select all that apply): A nurse is analyzing data collected during the assessment phase for a patient at risk for suicide. Which of the following nursing diagnoses are commonly associated with suicidal ideation? Select three.

A client with a history of substance use disorder and recent job loss is exhibiting signs of suicidal ideation. Which nursing intervention is most appropriate in this situation?

A nurse is evaluating the effectiveness of the plan of care for a patient with suicidal ideation. What action should the nurse take during the evaluation phase?

A client with a history of suicide attempts is admitted to the hospital. Which statement by the client should the nurse address during the assessment phase?

A nurse is providing care to a client who is displaying warning signs of suicidal ideation. Which interventions should the nurse prioritize to ensure the client's safety? (Select all that apply.).

A nurse is conducting an assessment of a client who may be at risk for suicide. Which of the following are common risk factors associated with suicide and suicidal ideation? (Select All That Apply):

A nurse is assessing a patient with suicidal ideation. Which step of the nursing process involves collecting data about the patient's physical and mental health status, suicide risk level, protective factors, coping skills, and support system?