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
Explanation
Choice A rationale:
Being the smallest child in class is not directly related to the traumatic experience of a wildfire.
Choice B rationale:
Making small fires in the backyard could be a sign of trauma related to the wildfire.
Choice C rationale:
Being rude to siblings is not directly related to the traumatic experience of a wildfire.
Choice D rationale:
Insisting on having their own way when playing with friends is not directly related to the traumatic experience of a wildfire.
Correct Answer is A
Explanation
Choice A rationale:
A vulnerability gene is a variant that increases the risk for the development of a specific mental illness. It does not guarantee the development of the illness, but it increases susceptibility.
Choice B rationale:
A vulnerability gene is not solely responsible for the development of a specific mental illness. Mental illnesses are typically the result of a combination of genetic, environmental, and psychological factors.
Choice C rationale:
A vulnerability gene does not determine an individual’s resilience to stress. Resilience is a complex trait influenced by multiple genes and environmental factors.
Choice D rationale:
A vulnerability gene does not determine an individual’s likelihood of recovering from mental illness. Recovery is influenced by a variety of factors, including treatment, support systems, and individual resilience.
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