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 C
Explanation
A. Opioid agonists and opioid antagonists are incorrect because opioid antagonists (e.g., naloxone) reverse opioid effects rather than enhance pain relief.
B. Adjuvants and partial agonists are incorrect because while adjuvants can be helpful, partial agonists may not provide adequate pain relief for severe musculoskeletal pain.
C. NSAIDs and opioids are correct as NSAIDs reduce inflammation and opioids provide stronger analgesia when needed for severe pain.
D. NSAIDs and antidepressants are incorrect because while some antidepressants help with chronic neuropathic pain, they are not the primary treatment for musculoskeletal and soft tissue inflammation.
Correct Answer is B
Explanation
A. Discontinuing the tube feeding and transitioning to parenteral nutrition is not the first action, as the residual volume may be manageable with additional interventions.
B. A residual volume of 200 mL is above the usual threshold, so the nurse should stop the feeding, wait, and recheck the residual to assess if it improves.
C. While positioning can help gastric emptying, the immediate action should be to stop the feeding and reassess before continuing.
D. Continuing the feeding without rechecking the residual volume would be premature, as the volume is higher than expected, potentially increasing the risk of aspiration.
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