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.
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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Related Questions
Correct Answer is D
Explanation
D Antihistamines, particularly those with strong anticholinergic properties, are known to be associated with the development of delirium. Anticholinergic medications can disrupt neurotransmitter signaling in the brain, leading to cognitive impairment, confusion, and delirium.
A. Benzodiazepine have not been associated with delirium.
B. SSRIs can have side effects, including agitation or confusion in some individuals, they are not typically associated with the development of delirium to the same extent as benzodiazepines.
C. Amphetamines are stimulant medications that increase the activity of certain neurotransmitters in the brain. However, they are not typically associated with the development of delirium.
Correct Answer is D
Explanation
D. Mental illness is complex and multifactorial, and the response to medication can vary widely among individuals. While medication can be effective in alleviating symptoms for many people, factors such as genetic predisposition, neurobiological differences, environmental influences, and individual variability in brain function and structure can all impact treatment response.
A. While medication adherence is important for managing mental illness, it is rarely a cure on its own. Mental illness often requires ongoing treatment and management.
B. Some individuals may experience rapid improvement with medication, while others may take longer to see results or may require adjustments to their treatment plan.
C. Mental illness is not solely determined by willpower, and implying that it is oversimplifies the complex nature of these conditions.
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