A patient is admitted with the diagnosis of a gunshot wound to the head due to a suicide attempt. While in the patient care unit, the plan of care should include which intervention?
Overlooking the patient's need to talk about the incident
Discontinuing any psychotropic medications
Validating the patient's worth and self-esteem
Limiting interaction with the patient due to antisocial behaviors exhibited by the suicide attempt
The Correct Answer is C
A. Overlooking the patient's need to talk is incorrect because ignoring their emotional distress may increase feelings of isolation and hopelessness.
B. Discontinuing psychotropic medications is incorrect as these medications may be essential in stabilizing mood and preventing further self-harm.
C. Validating the patient's worth and self-esteem is correct as it helps promote a sense of value, belonging, and hope, which are crucial in suicide prevention and recovery.
D. Limiting interaction with the patient is incorrect because social isolation can worsen depression and increase the risk of further self-harm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Elevated ST segment is typically seen with conditions like pericarditis or acute myocardial injury, not hypokalemia.
B. Wide QRS could be related to various conditions, including bundle branch block or electrolyte disturbances, but it is not specifically indicative of hypokalemia.
C. Inverted P wave could be due to atrial arrhythmias but is not a hallmark of hypokalemia.
D. Abnormally prominent U wave is a classic sign of hypokalemia and is often seen following the T wave on an EKG.
Correct Answer is B
Explanation
A. Autonomy refers to respecting the patient’s right to make their own decisions. While important, it is not the ethical principle that guides the nurse's decision to report the situation to Adult Protective Services.
B. Nonmaleficence refers to the duty to do no harm. Reporting the neglect of the client to Adult Protective Services is consistent with preventing further harm and ensuring the client’s safety.
C. Justice refers to fairness and equal treatment. While the nurse is working to protect the client, the situation involves more than just fairness, making nonmaleficence the more applicable principle.
D. Fidelity refers to loyalty and keeping promises, but it does not specifically guide the nurse’s action in this situation.
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