After establishing a no-harm contract with the client, the nurse should:
continue to maintain close observation.
begin treatment with antidepressants.
begin to assess client risk factors.
decrease observation activity to allow client autonomy.
The Correct Answer is A
A. A no-harm contract is a useful tool. However, it's essential to remember that it's not a guarantee against self-harm. Close observation remains crucial, as suicidal ideation can fluctuate.
B. Antidepressants can be part of the treatment plan but they are not an immediate solution and require careful monitoring. The priority is ensuring the client's safety.
C. This assessment should have already been conducted before establishing the no-harm contract. Ongoing assessment is important, but immediate observation takes precedence.
D. Reducing observation could put the client at risk. Continuous monitoring is necessary to prevent self- harm.
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Related Questions
Correct Answer is B
Explanation
A. Making a suicidal individual feel foolish can increase their isolation and shame, potentially exacerbating suicidal thoughts. It's essential to approach the situation with empathy and understanding.
B. Establishing therapeutic rapport encourages open communication. By creating a safe and trusting environment, the caregiver can facilitate the client to express their thoughts and feelings about suicidal ideation. This information is crucial for assessing the client's risk and developing an appropriate care plan.
C. While feeling in control can be beneficial for some individuals, it's not the primary goal of establishing therapeutic rapport with suicidal clients. The focus should be on creating a safe space for open communication and understanding the client's perspective.
D. Enhancing self-worth is a long-term goal of therapy, but it's not the immediate focus when establishing rapport with a suicidal client. The priority is to address the immediate crisis and create a safe environment for open communication.
Correct Answer is A
Explanation
A. Severe, prolonged depression has been shown to increase a person's risk for physical illness. Chronic depression can lead to or exacerbate a range of health issues, including cardiovascular disease, weakened immune function, and gastrointestinal problems. The stress and physiological changes associated with depression can contribute to poorer health outcomes and a higher incidence of physical illnesses.
B. Severe, prolonged depression does have an effect on physical health, and the impact is generally detrimental rather than neutral. Ignoring the link between mental health and physical health overlooks the extensive evidence showing how chronic depression can affect physical well-being.
C. Severe, prolonged depression does not typically decrease the risk of physical illness. Instead, it generally increases the risk due to the negative effects on the body’s systems and overall health.
D. Severe, prolonged depression has more than just a little effect on physical health. Its impact is significant and can lead to a range of physical health problems, including increased susceptibility to infections, chronic diseases, and other health complications.
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