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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Clinical algorithms help in standardizing certain processes but might not specifically integrate evidence-based practice guidelines for evaluating therapy plans.
B. Clinical practice guidelines offer evidence-based recommendations, aiding healthcare providers in decision-making for specific conditions or treatments.
C. While the internet may provide information, it might lack the vetting and credibility of evidence-based practice guidelines provided by reputable sources.
D. Clinical pathways provide a structured approach to care delivery but might not inherently integrate evidence-based practice guidelines unless these are explicitly incorporated into the pathway.
Correct Answer is B
Explanation
A. Using a threat about meals isn't a therapeutic approach to encourage participation and may further distress the client.
B. This response offers assistance while encouraging participation, respecting the client's autonomy by suggesting a balance between activity and rest.
C. Using a direct order may escalate resistance and isn't likely to be helpful.
D. This response doesn't encourage participation and may perpetuate the client's withdrawal.
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