An adult female whose fiancé recently called off the wedding attempts suicide by taking an overdose of sleeping medication. Immediately after taking the medication, she calls friends and family to tell them what she has done. Her friends and family activate the emergency response system, and she is taken the emergency department and is admitted to a mental health facility for monitoring. She is exhibiting signs and symptoms most evident of which suicide motivational category?

Refusal to accept a diminished style of life

Cry for help

Preoccupation with suicide

Relieving Distress

Answer and Explanation

The Correct Answer is B

A.   This category typically involves a person who is unable or unwilling to come to terms with significant life changes or losses, such as financial difficulties, health problems, or other major life transitions. The patient in the scenario does not seem to be demonstrating a refusal to accept a diminished lifestyle but rather a reaction to a specific event, the end of her engagement.
B.   This category describes a situation where the individual’s suicide attempt is not solely intended to result in death but rather is a way of expressing severe distress and seeking help. In this case, the patient’s action of calling friends and family immediately after the overdose indicates that she may have been reaching out for help and wanted others to know what she had done. This behavior aligns with a cry for help, as it reflects a desire for intervention and support rather than a determination to die.
C.   This category involves a persistent and obsessive focus on suicidal thoughts or plans. While the patient has attempted suicide, the scenario described does not emphasize a long-standing preoccupation with suicide. Instead, it highlights a reaction to a recent distressing event.
D.   This category is characterized by the use of suicide as a means to escape or alleviate intense emotional pain or distress. While this might be a factor in the patient’s behavior, the immediate act of calling friends and family after taking the medication suggests that her intention was more focused on seeking help than solely relieving distress.

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Correct Answer is D

Explanation

A. This is an inappropriate and potentially harmful response. Restraints should only be used as a last resort and under strict protocols.
B. While it might be tempting to address the behavior, it's unlikely to be effective in this situation. The client is agitated and not receptive to reason.
C. Seclusion is a restrictive measure that should be avoided if possible. It's not appropriate in this situation where the client is verbally abusive but not physically threatening.
D. This is the most appropriate response. It sets a clear boundary, de-escalates the situation, and gives the client and nurse time to calm down.

A. Tell the client that she has a self-defeating attitude and it will only make her feel worse. B. Sit down with the client and ask her why she doesn't want to participate C. Convince the client how helpful it will be to engage in the activity D. Tell the client that it is time for the activity, and accompany her to the activity.

Correct Answer is B

Explanation

A. This response is accusatory and invalidates the client's feelings. It's important to approach the client with empathy and understanding.
B. It shows the nurse's interest and willingness to understand the client's perspective. By asking open- ended questions, the nurse can explore the reasons behind the client's reluctance and offer support accordingly.
C. While it may be beneficial for the client to participate in activities, pressuring them or convincing them might not be effective. It's important to respect the client's feelings and work with them to find ways to overcome their reluctance.
D. This approach is directive and dismissive of the client's feelings. It's essential to involve the client in the decision-making process and address their concerns before expecting them to participate in an activity.

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to change the dressing on the lower leg of an older adult client who is in a wheelchair, and has a history of maladaptive coping skills. The client begins swearing at and verbally abusing the nurse. Which of the following actions should the nurse to take?

Correct Answer is D

Explanation

A nurse is caring for a client who has depression. When the nurse encourages the client to join an activity the client states, "What's the use?" Which of the following is an appropriate nursing intervention?

Correct Answer is B

Explanation

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A nurse is preparing to change the dressing on the lower leg of an older adult client who is in a wheelchair, and has a history of maladaptive coping skills. The client begins swearing at and verbally abusing the nurse. Which of the following actions should the nurse to take?