A nurse on an inpatient mental health unit is reinforcing teaching to a newly licensed nurse about suicide prevention. Which of the following statements made by the newly licensed nurse indicates an understanding of the information?

"The blinds in the client's room will need to stay closed to prevent overstimulation."

"Family members should be encouraged to look up the warning signs of suicide."

"The client can eat their meal alone in their room."

"All sharp objects should be removed from the client's room."

Answer and Explanation

The Correct Answer is D

A. The blinds in the client's room will need to stay closed to prevent overstimulation. Keeping the blinds closed is not a standard suicide prevention measure. While reducing overstimulation may be helpful for some mental health conditions, suicide prevention focuses more on removing means of self-harm, increasing supervision, and providing therapeutic interventions.
B. Family members should be encouraged to look up the warning signs of suicide. While educating family members about suicide warning signs is beneficial, simply encouraging them to look up the information is insufficient. The nurse should provide direct education and resources to ensure they recognize signs of suicidal ideation and know how to respond appropriately.
C. The client can eat their meal alone in their room. Allowing a suicidal client to eat alone increases the risk of self-harm, as food-related items (such as utensils, plastic bags, or containers) could be misused. Clients at risk for suicide should be supervised during meals to ensure their safety.
D. All sharp objects should be removed from the client's room. Removing sharp objects is a critical component of suicide prevention in inpatient settings. Limiting access to potential means of self-harm, including sharp items, cords, belts, and other dangerous objects, helps reduce the risk of suicide attempts.

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Correct Answer is C

Explanation

A. Cyclothymic disorder: Cyclothymic disorder involves chronic mood instability with alternating hypomanic and depressive symptoms for at least two years. These mood fluctuations occur independently of the menstrual cycle and do not meet the criteria for major mood episodes.
B. Postpartum depression: Postpartum depression occurs within weeks to months after childbirth and presents with persistent sadness, fatigue, and emotional distress. It is unrelated to the menstrual cycle and requires medical treatment such as therapy and antidepressants.
C. Premenstrual dysphoric disorder: Premenstrual dysphoric disorder is marked by mood disturbances, including depressed mood, irritability, and anxiety, occurring in the luteal phase before menstruation. Symptoms resolve after menstruation begins, and treatment may include SSRIs, hormonal therapy, or lifestyle modifications.
D. Bipolar disorder: Bipolar disorder involves episodes of mania and depression that are unrelated to hormonal changes in the menstrual cycle. Manic episodes present with impulsivity and grandiosity, while depressive episodes cause low energy and anhedonia, requiring mood stabilizers.

A. Avoid looking at other clients on the unit. B. Interrupt the client's statement to clarify thoughts or ideas. C. Show emotion when a client is disclosing sensitive information. D. Keep direct eye contact to a minimum.

Correct Answer is A

Explanation

A. "Avoid looking at other clients on the unit." Distractions reduce the quality of communication and make the client feel undervalued. Focusing on the client demonstrates attentiveness and encourages open dialogue. Looking at others while a client speaks may suggest disinterest. Giving full attention strengthens therapeutic relationships and supports effective listening.
B. "Interrupt the client's statement to clarify thoughts or ideas." Interrupting can disrupt the client’s thoughts and make them feel unheard. Active listening requires patience, allowing the client to speak fully before responding. Clarifications should be made after they finish to ensure understanding. Frequent interruptions may hinder trust and open communication.
C. "Show emotion when a client is disclosing sensitive information." While empathy is important, excessive emotional reactions can shift focus away from the client. A calm and composed demeanor helps maintain a supportive environment. Overreacting may make the client feel uncomfortable or hesitant to share. Active listening involves offering validation without overwhelming emotional responses.
D. "Keep direct eye contact to a minimum." Eye contact conveys attentiveness and respect, helping to establish rapport. Avoiding eye contact may make the client feel ignored or dismissed. However, excessive staring can be intimidating, so a balanced approach is best. Appropriate eye contact fosters trust and enhances communication.

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A nurse on an inpatient mental health unit is reinforcing teaching to a newly licensed nurse about suicide prevention. Which of the following statements made by the newly licensed nurse indicates an understanding of the information?

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