A patient is prescribed 40 mg/day of Fluoxetine, administered once daily. If Fluoxetine is available in 20 mg capsules, how many capsules should the patient take each day?

Choice A reason:A suicide in a mental health facility is a traumatic event for staff, who may experience guilt, grief, or burnout. Providing professional counseling as the priority intervention supports staff mental health, enabling them to process the event, maintain their well-being, and continue providing safe, effective care to other clients.

Choice B reason:Supporting the family’s emotional needs is important, but it is not the immediate priority. Staff must first address their own psychological well-being to ensure they can provide compassionate and professional support to the family and other clients effectively.

Choice C reason:Reviewing the client’s behavior for missed warning signs is valuable for learning and improving future care. However, this retrospective analysis is not the immediate priority, as it does not address the urgent emotional needs of staff following the traumatic event.

Choice D reason:Updating observation policies could enhance future suicide prevention, but it is not the immediate priority. Policy changes require time and analysis, whereas supporting staff mental health is critical to maintaining unit functionality and safety in the aftermath of the incident.

Choice A reason:A history of bulimia nervosa increases the risk of self-harm, as eating disorders are often associated with emotional dysregulation, low self-esteem, and impulsive behaviors, which can manifest as self-injurious actions.

Choice B reason:Receiving a promotion at work is generally a positive event and not typically associated with an increased risk of self-harm. It may boost self-esteem and is not a risk factor for self-injury.

Choice C reason:A parent with dependent personality disorder may influence family dynamics, but it is not a direct risk factor for the client’s self-harm behaviors. The client’s own mental health conditions are more relevant.

Choice D reason:Borderline personality disorder is strongly associated with self-harm behaviors, as it involves emotional instability, impulsivity, and difficulty managing intense emotions, often leading to self-injury as a coping mechanism.