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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the correct choice. These behaviors are indicative of the inatention and hyperactivity- impulsivity symptoms of ADHD.
Choice B reason: Being withdrawn in social contexts but engaging with family does not provide clear evidence of ADHD.
Choice C reason: Stubbornness and resistance to directions alone are not sufficient to diagnose ADHD.
Choice D reason: Cruelty to animals and lack of guilt are not symptoms of ADHD and may indicate other behavioral issues.
Correct Answer is D
Explanation
Choice A reason: Engaging in activities might be too demanding during a panic atack and could potentially exacerbate the client's anxiety.
Choice B reason: While medication may be part of the treatment plan, the immediate priority is to ensure the client's safety and comfort, which is best achieved by staying with them.
Choice C reason: Offering therapy in the midst of a panic atack is not practical; the immediate need is to help the client feel safe and manage their acute symptoms.
Choice D reason: Staying with the client to assess their needs is the most appropriate immediate intervention to ensure safety and provide reassurance during a panic atack.
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