A patient with suicidal impulses is on the highest level of suicide precautions. Which measures should the nurse incorporate into the patient's plan of care? (Select all that apply.)

Allow no glass or metal on meal trays.

Check the patient's whereabouts every 15 minutes and make frequent verbal contact.

Remove all potentially harmful objects from the patient's possession.

Maintain arm's length, one-on-one nursing observation around the clock.

Answer and Explanation

Correct Answer : A,B,C

A.   This precaution helps eliminate potential means for self-harm.
B.   Regular checks and verbal contact are essential to monitor the patient's safety and provide support.
C.   Removing objects that could be used for self-harm is a key part of suicide precautions.
D.   While this is an intensive level of observation, it might not be feasible at all times due to staffing limitations, making this choice less practical than the others.

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Correct Answer is A

Explanation

A. For a client with severe depression, a calm and direct approach is beneficial. Sitting with the client and offering simple, clear information can help establish trust and rapport.
B. Attending group therapy immediately might overwhelm the client, especially if they are newly admitted and experiencing severe depression.
C. Taking the client on a tour and introducing all staff members might be overwhelming or excessive for someone with severe depression.
D. While explaining unit policies is important, a direct informational approach might be more effective initially given the severity of the client's condition.

A. "Identifying the problem is the first step of the EBP process." B. "Reviewing the effectiveness of the findings is the last step of the EBP process." C. "Reliance on personal experiences is important to the process of EBP." D. "There are four steps in the process of EBP."

Correct Answer is A

Explanation

A. Identifying the problem or clinical question is indeed the initial step in the EBP process, as it involves recognizing an issue or a gap in current knowledge or practice.
B. Reviewing effectiveness typically falls within the implementation phase of EBP, not necessarily the final step.
C. EBP emphasizes using research evidence over personal experiences to guide practice.
D. EBP involves multiple steps that typically include more than four distinct phases, such as identifying the problem, gathering evidence, implementing interventions, and evaluating
outcomes.

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A patient with suicidal impulses is on the highest level of suicide precautions. Which measures should the nurse incorporate into the patient's plan of care? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning a unit orientation for a newly admitted client who has severe depression. Which of the following should be the nurse's approach?

Correct Answer is A

Explanation

A nurse is discussing the process of evidence-based practice (EBP) with a newly licensed nurse. Which of the following statements made by the newly licensed nurse indicates an understanding of the process?

Correct Answer is A

Explanation

A nurse in a psychiatric unit is admitting a client who attacked a neighbor. The nurse should know that the client can be kept in the hospital after the 72-hr hold is over for which of the following conditions?

A patient diagnosed with major depressive disorder begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy. Priority information given to the patient and family should include a directive to do what?

Which intervention(s) should the nurse include in the plan of care for an adolescent who is depressed? (Select all that apply.)

When assessing for the subjective symptoms of posttraumatic stress disorder (PTSD), which question will the nurse ask a client hospitalized for severe anxiety related to a sexual assault by a family member as a teenager?

A nurse is providing teaching for a client who has major depressive disorder and is seeking voluntary admission to an acute mental health facility. Which of the following statements should the nurse include?

A charge nurse is conducting a staff education in-service about depressive disorders. Which of the following should the nurse identify as a risk factor for depression?

A nurse is caring for a client who was admitted for suspected abuse. The client is quiet and withdrawn. Which of the following actions should the nurse take to promote client communication?