A nurse is assessing a newly admitted client who states that they do not want to live anymore and plan to end their life.
Which of the following actions should the nurse take?.
Ask the client about the lethality of their plan
Encourage the client to focus on the positive aspects of life.
Reassure the client that everything is going to work out.
Allow the client time alone to self-reflect.
The Correct Answer is A
Choice A rationale:
Asking the client about the lethality of their plan is the most appropriate action. This allows the nurse to assess the immediate risk to the client’s safety.
Choice B rationale:
Encouraging the client to focus on the positive aspects of life may be helpful in some situations, but it does not address the immediate safety concern.
Choice C rationale:
Reassuring the client that everything is going to work out may provide temporary relief, but it does not address the immediate safety concern.
Choice D rationale:
Allowing the client time alone to self-reflect is not appropriate in this situation as it could increase the risk of self-harm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
Choice A rationale:
Blood pressure is a vital sign and does not indicate negative symptoms of schizophrenia.
Choice B rationale:
Lack of motivation is a negative symptom of schizophrenia, characterized by a decrease in the ability to initiate purposeful activities.
Choice C rationale:
Change in behavior can be seen in many conditions and is not specific to negative symptoms of schizophrenia.
Choice D rationale:
Lack of energy, or anhedonia, is a negative symptom of schizophrenia, reflecting the diminished ability to experience pleasure.
Choice E rationale:
Being withdrawn or isolative is a negative symptom of schizophrenia, indicating a lack of interest in social interactions.
Correct Answer is C
Explanation
Choice A rationale:
Ignoring the client’s lack of self-care is not therapeutic. It’s important to address hygiene issues with clients who have schizophrenia.
Choice B rationale:
This approach is confrontational and does not respect the client’s autonomy or dignity.
Choice C rationale:
This is the best choice because it respects the client’s autonomy and provides them with a choice, which can help motivate them to participate in self-care activities.
Choice D rationale:
This statement is judgmental and confrontational, which is not therapeutic.
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