The client is being admited with suicidal thoughts. Which questions should the nurse ask the client? Select all that apply.
Does your family know you are considering this?
What method are you considering?
Have you determined when you will do this?
Do you have access to means for completing your thoughts?
Do you have a plan to end your life?
Can we call a chaplain or someone to talk to you?
Correct Answer : A,B,C,D,E,F
Choice A reason: Knowing if the family is aware can help in understanding the client's support system.
Choice B reason: Understanding the method the client is considering can help assess the level of risk and immediacy.
Choice C reason: Knowing the timing can help in immediate risk assessment and prevention planning.
Choice D reason: Assessing access to means is crucial for immediate safety planning.
Choice E reason: Understanding if there is a specific plan can help gauge the seriousness and immediacy of the risk.
Choice F reason: Offering spiritual or emotional support can be an important part of the care plan.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: While education is important, it is not the priority for a client with significantly progressed dementia, as their ability to learn new information is likely impaired.
Choice B reason: Support is crucial for clients with dementia, but it is not the immediate priority in the context of safety concerns.
Choice C reason: This is the correct choice. Safety is the priority for clients with significantly progressed dementia due to increased risk of harm from confusion, wandering, and other behaviors.
Choice D reason: Cognitive interventions may be part of the treatment plan, but they are not the priority when compared to ensuring the client's safety.
Correct Answer is A
Explanation
Choice A reason: This choice is incorrect as it dismisses the client's feelings and implies a timeline for grief, which can impede communication.
Choice B reason: This choice is appropriate as it offers support and presence, which can facilitate communication.
Choice C reason: This choice is empathetic and acknowledges the client's feelings, promoting communication.
Choice D reason: This choice is open-ended and invites the client to share more, which can enhance communication.
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