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 ["B","C","D"]

Explanation

A. This response invalidates the patient's feelings and avoids addressing the emotion, hindering communication.
B. Acknowledging the patient's emotion validates their feelings and encourages further discussion.
C. Validates the patient's emotional expression and offers understanding.
D. Acknowledges the depth of the patient's pain and encourages expression without judgment.

A. Sit with the client and offer simple, direct information. B. Have the client attend group therapy immediately. C. Take the client on a tour of the unit and introduce him to all the staff members on duty. D. Explain the unit policies to the client and answer any questions he might have.

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.

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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 cries as the nurse explores the patient's relationship with a deceased parent. The patient says, "I shouldn't be crying like this. It happened a long time ago." Which responses by the nurse will facilitate communication? (Select all that apply.)

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

Explanation

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 performing an admission assessment for a client who is receiving treatment following a situational crisis. Which of the following assessments by the nurse is the highest priority?

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?

A patient states, "I'm starting cognitive behavioral therapy. What can I expect from the sessions? Which responses by the nurse are appropriate? (Select all that apply.)

After failing two tests, a college student cried for hours and then tried to telephone a parent but got no answer. The student then gave several expensive sweaters to a roommate. Which behavior provides the strongest clue of an impending suicide attempt?

When considering an individual's risk for suicide, which client will the nurse consider the priority?

A nurse is caring for a client who was involved in heavy combat and observed war casualties. The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if the client makes which of the following statements?