Jennifer, a college student, attempted suicide by hanging but was found by her roommate. She was treated in the emergency department and admitted to the psychiatric unit. She continues to verbalize suicidal ideation (SI) with a plan. Jennifer is placed on the strictest level of suicide precautions. What nursing interventions would be planned?
Check whereabouts every hour.
Make verbal contact at least three times each shift.
Check whereabouts every 15 minutes.
Make frequent verbal contacts.
Keep patient within visual range while she is awake.
Correct Answer : C
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
No explanation
Correct Answer is D
Explanation
A. Panic. Panic-level anxiety typically involves extreme fear and severe physical symptoms such as palpitations, sweating, trembling, and a sense of impending doom. The client's reported symptoms (chest pain, headache, shortness of breath) do not align with the intense nature of panic anxiety.
B.Mild. Mild anxiety is characterized by heightened awareness and alertness. The client's symptoms and statement about his wife leaving him suggest more than mild anxiety as they indicate emotional distress beyond simple alertness.
C.Moderate. Moderate anxiety is associated with increased muscle tension, restlessness, and impaired concentration. Moderate anxiety (choice C) is characterized by increased alertness and decreased concentration but is manageable with support.
D. Severe anxiety significantly impairs daily functioning. It can cause physical symptoms such as chest pain, shortness of breath, and headaches. The client’s presentation aligns with severe anxiety, given the impact on his well-being.
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