A nurse on a mental health unit is planning care for a client who has a new diagnosis of non- suicidal self-harm (NSSH). Which of the following interventions should the nurse include in the plan?

Explain to the client that self-harm behaviors do not increase their risk for accidental death.

Inform the client that self-harm behavior cannot become a serious problem in the future.

Encourage the client to identify the emotions they feel immediately before performing the self- harm behavior.

Place the client in one-on-one direct observation due to overt suicidal intent.

Answer and Explanation

The Correct Answer is C

C Encouraging the client to identify the emotions they feel immediately before performing the self-harm behavior is an important intervention. It can help the client develop insight into triggers and underlying emotions that contribute to the behavior. Identifying and addressing these emotions can be a crucial step in developing healthier coping mechanisms.

A. It is crucial to convey the potential risks associated with self-harm and emphasize the importance of seeking help and safer coping strategies.

B. Non-suicidal self-harm is a significant concern that requires attention and appropriate intervention. While NSSH does not necessarily indicate immediate suicidal intent, it can indicate significant distress

D. NSSH does not necessarily indicate suicidal intent, and placing the client in constant observation without clinical justification may be intrusive and undermine therapeutic rapport.

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Correct Answer is D

Explanation

D. Escitalopram is a selective serotonin reuptake inhibitor (SSRI) antidepressant commonly used in the treatment of anxiety disorders, including illness anxiety disorder (formerly known as hypochondriasis). It helps alleviate symptoms by increasing serotonin levels in the brain, which can improve mood and reduce anxiety.

A. Carbamazepine is an anticonvulsant medication primarily used in the treatment of seizure disorders, bipolar disorder, and certain types of neuropathic pain. It is not typically used as a first-line treatment for illness anxiety disorder.

B. Haloperidol is a first-generation antipsychotic medication used in the treatment of schizophrenia, psychotic disorders, and severe agitation. It is not typically used as a first-line treatment for illness anxiety disorder,

C. Olanzapine is a second-generation antipsychotic medication used in the treatment of schizophrenia, bipolar disorder, and certain types of depression. Like haloperidol, it is not typically used as a first-line treatment for illness anxiety disorder

A. "I have not used drugs in 6 weeks." B. "I have been participating in my local YMCA after-school dance program again." C. "I don't have anyone I can talk to about my problems." D. "I think that I missed two math tutoring classes last week, but I can still catch up."

Correct Answer is C

Explanation

C. This statement suggests that the adolescent client lacks a supportive network or resources to discuss their problems, which can be concerning given their history of depression and suicidal ideation. It indicates a potential lack of social support, which is crucial for individuals struggling with mental health issues.

A. This statement indicates a positive behavior change, as the client has refrained from using drugs for a significant period.

B. Engaging in recreational activities and social interactions, such as participating in a dance program, can be beneficial for mental health and well-being.

D. This statement suggests that the client may be experiencing academic difficulties or stress related to missing classes. While missing classes can be concerning, the client's acknowledgment of the situation and intention to catch up may indicate a proactive approach to addressing academic challenges.

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A nurse on a mental health unit is planning care for a client who has a new diagnosis of non- suicidal self-harm (NSSH). Which of the following interventions should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has illness anxiety disorder. Which of the following medications should the nurse expect the provider to prescribe?

Correct Answer is D

Explanation

A nurse is caring for an adolescent client who has a history of depression and suicidal ideation. Which of the following client statements should the nurse identify as requiring further intervention?

Correct Answer is C

Explanation

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