The PMHNP is giving a presentation on suicide prevention at a local high school. One of the teachers wants to know which suicide risk assessment tool is the most user-friendly for nonclinicians. What is the most appropriate response?
Acquired Capability for Suicide Scale-Fearlessness about Death (ACSS-FAD)
Columbia-Suicide Severity Rating Scale (C-SSRS)
Suicide Behaviors Questionnaire-Revised (SBQ-R)
Interpersonal Needs Questionnaire (INQ)
The Correct Answer is B
Choice A reason: The ACSS-FAD measures fearlessness about death, a component of suicide risk based on the interpersonal theory of suicide. It is more suitable for research and clinical settings and is not designed for general use by nonclinicians.
Choice B reason: The Columbia-Suicide Severity Rating Scale (C-SSRS) is widely recognized for its ease of use and effectiveness in various settings, including schools and community programs. It includes simple, structured questions that can be administered by nonclinicians to assess suicidal ideation and behavior. It has been validated across age groups and is endorsed by multiple national and international organizations.
Choice C reason: The SBQ-R is a validated tool for assessing suicide risk but is more appropriate for clinical or research environments. It requires interpretation of responses that may be challenging for nonclinicians without training.
Choice D reason: The INQ assesses psychological states like perceived burdensomeness and thwarted belongingness, which are associated with suicide risk. However, it is not a direct suicide risk assessment tool and is better suited for research purposes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Duloxetine is a serotonin-norepinephrine reuptake inhibitor (SNRI) approved for chronic musculoskeletal pain and also treats depression. It is appropriate for this patient due to its dual benefit and non-addictive profile.
Choice B reason: Opioids pose a high risk of relapse in individuals with a history of substance use disorder. They are generally contraindicated unless all other options have failed and strict monitoring is in place. In this case, they are not appropriate.
Choice C reason: Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) effective for chronic pain. It is non-addictive and suitable for patients with substance use history, assuming no contraindications like GI or renal issues.
Choice D reason: Acetaminophen is a safe, non-opioid analgesic for mild to moderate pain. It is appropriate for patients with substance use disorder and can be used alone or in combination with other non-opioid agents.
Correct Answer is B
Explanation
Choice A reason: Beneficence involves promoting good and preventing harm. It is a core ethical principle but does not specifically address equal treatment or fairness.
Choice B reason: Justice is the ethical principle that emphasizes fairness, equity, and impartiality. In nursing, it means treating all patients with equal respect and ensuring that care is distributed fairly, regardless of personal characteristics or social status.
Choice C reason: Respect is foundational to ethical practice, particularly in honoring autonomy and dignity. However, it does not explicitly mandate equal treatment across individuals, which is the domain of justice.
Choice D reason: Fidelity refers to loyalty, faithfulness, and keeping promises. It supports trust in the nurse-patient relationship but does not encompass the principle of equal respect for all.
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