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(Select all that apply): A nurse is analyzing data collected during the assessment phase for a patient at risk for suicide. Which of the following nursing diagnoses are commonly associated with suicidal ideation? Select three.

Risk for suicide.

Ineffective family coping.

Chronic low self-esteem.

Altered nutrition.

Risk for infection.

Answer and Explanation

Correct Answer : A,B,C

Choice A:

Risk for suicide.

Choice B:

Ineffective family coping.

Choice C:

Chronic low self-esteem.

Choice A rationale:

This choice aligns with the primary concern of the patient being at risk for suicide, which is the focus of the assessment. Identifying this diagnosis is crucial for implementing appropriate interventions to ensure the patient's safety.

Choice B rationale:

Ineffective family coping could contribute to the patient's stressors and emotional state. It's relevant because the support system plays a significant role in a patient's mental health. However, it might not be as immediate a concern as the risk for suicide itself.

Choice C rationale:

Chronic low self-esteem is relevant to the patient's overall mental health and might contribute to their suicidal ideation. However, it might not directly address the immediate risk and urgency of the situation compared to the diagnosis of "Risk for suicide."

Choice D rationale:

Altered nutrition and risk for infection are not directly related to the primary concern of suicidal ideation and the associated nursing diagnoses. While they may be aspects of the patient's overall health, they are not the most pertinent concerns when addressing the risk of suicide.

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Correct Answer is D

Explanation

Choice D rationale:

Suicidal ideation can be a symptom of various underlying mental health conditions. It is not a diagnosis in itself but rather a manifestation of an individual's thoughts about self-harm or suicide. Suicidal ideation can range from passive thoughts of death to active and detailed plans for self-harm. It is essential for healthcare professionals to recognize and assess suicidal ideation as it can indicate significant distress and potential risk.

Choice A rationale:

Suicidal ideation is not a diagnosis on its own. It is a symptom that indicates emotional or psychological distress. Diagnoses are typically related to specific mental health disorders (e.g., major depressive disorder, borderline personality disorder) that may or may not involve suicidal ideation.

Choice B rationale:

Suicidal ideation is not solely more common in older adults. It can affect individuals of all age groups, including children, adolescents, and adults. While the prevalence and characteristics of suicidal ideation may vary across age groups, it is not accurate to state that it is more common in older adults.

Choice C rationale:

Suicidal ideation does not always involve a detailed plan for self-harm. Suicidal ideation exists on a continuum, ranging from vague thoughts of death to well-formed plans for suicide. Some individuals may experience fleeting thoughts of wanting to die without having a detailed plan, while others may have specific plans and intent.

A. The client is at risk for self-inflicted, life-threatening injury. B. The client has a subjective state with limited personal choices. C. The client is unable to cope with stressors. D. The client experiences compromised family coping.

Correct Answer is B

Explanation

The client has a subjective state with limited personal choices.

Choice A rationale:

The client is at risk for self-inflicted, life-threatening injury. This choice does not accurately define the nursing diagnosis of "Hopelessness." While it is true that hopelessness can lead to self-harm or suicide, the nursing diagnosis focuses on the client's emotional state and personal choices rather than the immediate risk of injury.

Choice B rationale:

The client has a subjective state with limited personal choices. This choice accurately defines the nursing diagnosis of "Hopelessness." Hopelessness refers to the client's emotional state of feeling devoid of hope, often resulting in a perceived lack of personal choices and options. This sense of hopelessness can contribute to feelings of despair and potentially suicidal ideation.

Choice C rationale:

The client is unable to cope with stressors. This choice is not the most accurate definition of "Hopelessness." While hopelessness can certainly impact a client's ability to cope with stressors, the primary focus of the diagnosis is on the subjective emotional state and perceived lack of choices, rather than their coping abilities.

Choice D rationale:

The client experiences compromised family coping. This choice is not directly related to the nursing diagnosis of "Hopelessness." Family coping refers to how a family unit manages stressors together, whereas hopelessness pertains to an individual's emotional state and perceived choices.

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(Select all that apply): A nurse is analyzing data collected during the assessment phase for a patient at risk for suicide. Which of the following nursing diagnoses are commonly associated with suicidal ideation? Select three.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a group of healthcare professionals about suicide and suicidal ideation. Which of the following statements accurately describes suicidal ideation?

Correct Answer is D

Explanation

A client is diagnosed with "Hopelessness." How would the nurse define this nursing diagnosis for a patient with suicidal ideation?

Correct Answer is B

Explanation

A nurse is evaluating the effectiveness of the plan of care for a patient with suicidal ideation. What action should the nurse take during the evaluation phase?

(Select all that apply): A nurse is establishing a therapeutic relationship with a patient at risk for suicide. Which of the following skills should the nurse use to build rapport and trust with the patient?

A nurse is developing a plan of care for a patient with suicidal ideation. Which of the following is a priority principle to consider in the planning phase for this patient's care?

A nurse is providing care to a client with suicidal ideation. Select all the interventions that the nurse should include in the implementation phase of the client's care.

A nurse is establishing a therapeutic relationship with a patient at risk for suicide. Which of the following skills should the nurse use to build rapport and trust with the patient? (Select all that apply):

A client with a history of substance use disorder and recent job loss is exhibiting signs of suicidal ideation. Which nursing intervention is most appropriate in this situation?

A nurse is working with a client who has suicidal ideation. Which intervention should the nurse implement to promote hope in the client?

A client has been diagnosed with depression and has a history of suicide attempts. What intervention is essential for the nurse to implement?