When assessing a patient's plan for suicide, what aspect has priority?

Availability of means and lethality of method

Patient's insight into the suicidal motivation

Quality and availability of patient's social support

Patient's financial and educational status

Answer and Explanation

The Correct Answer is A

A.   Availability of means and lethality of method is a priority as it directly influences the risk and immediacy of a potential suicide attempt. Access to lethal methods increases the risk of a fatal outcome.
B.   The patient's insight into the suicidal motivation is valuable, but it may not indicate immediate risk or specific details about the plan.
C.   Quality and availability of social support are important for long-term prevention but may not provide immediate information about the plan or risk.
D.   Patient's financial and educational status might be factors contributing to stress but may not directly reflect the immediate risk of suicide.

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Correct Answer is C

Explanation

A. This is not the primary reason for the counseling. The decision-making recommendation is
more related to the effects of the electroconvulsive therapy and the need for the patient to recover from its associated side effects.
B. While readjustment to a work schedule might be a consideration, the primary reason for counseling against major decisions for a month is related to the potential side effects of
electroconvulsive therapy.
C. Temporary memory impairments and confusion are potential side effects of electroconvulsive therapy, which might interfere with decision-making abilities, hence the advice to refrain from major decisions.
D. Antidepressant medications causing confusion related to dietary limitations with tyramine is not directly relevant to the counseling against making major decisions after electroconvulsive therapy.

A. Identifying the client's coping skills B. Determining if the client has psychotic thinking C. Identifying the client's support systems D. Asking the client to identify the cause of the crisis

Correct Answer is B

Explanation

A. While assessing coping skills is essential, in a crisis situation, determining immediate risks to the client's safety takes precedence.
B. Assessing for psychotic thinking is crucial to address immediate safety concerns. Psychosis can present significant risks and requires immediate attention.
C. While support systems are important for long-term recovery, determining immediate safety concerns is a priority.
D. Identifying the cause of the crisis is relevant but may not be the immediate priority when the client's safety is at risk due to potential psychotic thinking.

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When assessing a patient's plan for suicide, what aspect has priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A nurse is performing an admission assessment for a client who is receiving treatment following a situational crisis. Which of the following assessments by the nurse is the highest priority?

Correct Answer is B

Explanation

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