A severely depressed patient who has been on suicide precautions tells the nurse, "I am feeling a lot better, so you can stop watching me. I have taken too much of your time already." Which is the nurse's best response?

"I am glad you are feeling better. The team will consider your request."

"Because we are concerned about your safety, we will continue with our plan."

"I wonder what this sudden change is all about. Please tell me more."

"You should not try to direct your care. Leave that to the treatment team."

Answer and Explanation

The Correct Answer is B

A.   While acknowledging the patient's feelings is important, ensuring safety is the priority, and the response should emphasize the ongoing concern for safety.
B.   Prioritizing patient safety and care is crucial, especially in situations involving suicidal risks.
C.   Encouraging the patient to elaborate further is essential; however, the priority is to maintain the safety precautions.
D.   Directing the patient to not participate in their care isn't supportive or therapeutic, especially when safety is a concern.

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Correct Answer is ["A","B","C"]

Explanation

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.

A. Avocado salad, ham, creamed potatoes, asparagus, chocolate cake B. Noodles with cheddar cheese sauce, smoked sausage, lettuce salad, yeast rolls C. Mashed potatoes, ground beef patty, corn, green beans, apple D. Macaroni and cheese, hot dogs, banana bread, caffeinated coffee

Correct Answer is C

Explanation

A. Contains foods high in tyramine like avocado, ham, and chocolate cake.
B. Includes smoked sausage and yeast rolls which are high in tyramine
C. This meal consists of foods typically low in tyramine content, suitable for a tyramine- restricted diet.
D. Macaroni and cheese, hot dogs, and banana bread can contain high levels of tyramine

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A severely depressed patient who has been on suicide precautions tells the nurse, "I am feeling a lot better, so you can stop watching me. I have taken too much of your time already." Which is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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.)

Correct Answer is ["A","B","C"]

Explanation

A nurse teaching a patient about a tyramine-restricted diet would approve which meal?

Correct Answer is C

Explanation

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?

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?

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Which statement provides the best rationale for why a nurse should closely monitor a severely depressed patient during antidepressant medication therapy?

A nurse interacts with a newly hospitalized patient. Which nursing statement reflects the communication technique of "offering self"?

How does a psychiatric nurse best implement the ethical principle of autonomy?

A client has made a successful suicide attempt while hospitalized on a unit that specializes in the treatment of depression. When considering both milieu control and crisis management, which intervention will the nursing staff implement?