A nurse on an acute care mental health unit is examining the belongings of a client who is being admitted following a suicide attempt.
Which of the following belongings should the nurse ask the client's partner to take back home?.
Necklace
Lace-up tennis shoes.
Nylon socks.
Cotton underwear.
The Correct Answer is A
Choice A rationale:
A necklace is not a risk as it does not pose a threat to the client’s safety.
Choice B rationale:
Lace-up tennis shoes are allowed as they do not pose a risk to the client’s safety.
Choice C rationale:
Nylon socks are allowed as they do not pose a risk to the client’s safety.
Choice D rationale:
Cotton underwear is allowed as it does not pose a risk to the client’s safety.
Choice E rationale:
A glass-framed picture should be taken back home as it can be broken and potentially used to harm oneself.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Depersonalization is a symptom of PTSD, but it involves feeling detached from oneself, not reenacting traumatic events.
Choice B rationale:
Posttraumatic play is a common manifestation of PTSD in children. It involves the child reenacting the traumatic event, which can be seen in the child’s mimicking of shooting a gun.
Choice C rationale:
Omen formation is a belief that there were warning signs predicting the trauma. It’s not related to the child’s behavior.
Choice D rationale:
Time skewing involves a shift in the perception of time during the recall of the traumatic event. It’s not demonstrated in this scenario.
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale:
While monitoring blood pressure is important, it is not an immediate concern in this context.
Choice B rationale:
Hallucinations are a serious symptom of schizophrenia and require immediate follow-up.
Choice C rationale:
Insomnia can exacerbate the symptoms of schizophrenia and should be addressed promptly.
Choice D rationale:
Delusions, like hallucinations, are a serious symptom of schizophrenia and require immediate follow-up.
Choice E rationale:
While monitoring appetite is important, it is not an immediate concern in this context.
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