When considering an individual's risk for suicide, which client will the nurse consider the priority?

The recent Middle Eastern immigrant from a war-torn country

The gay male who has been diagnosed with HIV

The older transgender female who has been repeatedly assaulted

The teenager recovering from a self-inflicted gunshot wound

Answer and Explanation

The Correct Answer is D

A.   Being an immigrant from a war-torn country is a risk factor but not an immediate priority based on the information provided.
B.   While being diagnosed with HIV poses mental health risks, there's no immediate suicidal attempt or ideation described in the scenario.
C.   Repeated assaults are traumatic, but there's no indication of immediate suicidal risk.
D.   The teenager recovering from a self-inflicted gunshot wound indicates an immediate and recent attempt at suicide, making them the highest priority for monitoring and intervention.

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Correct Answer is B

Explanation

A. Both somatic symptom disorders and dissociative disorders involve psychological distress but are not necessarily under voluntary control.
B. Somatic symptom disorders involve physical symptoms that are a manifestation of psychological distress, while dissociative disorders involve disruptions in memory, identity, perception, and consciousness as a response to stress.
C. Dissociative disorders often occur as a response to ongoing or unresolved stress rather than resolved stress.
D. While both types of disorders can occur across cultures, they are not strictly bound by cultural factors.

A. Recognize the attempt at manipulation and escort the client back to her activity. B. Notify the client's family and request a visitor to stay with the client until thoughts of suicide are gone. C. Ask the client if she has a plan to commit suicide. D. Assist the client to her room and allow her to rest before resuming activity.

Correct Answer is C

Explanation

A. Dismissing the client's statement as manipulation without proper assessment can be dangerous.
B. While involving family support is important, this response doesn’t address the immediate safety concerns of the client.
C. Asking about suicidal plans helps assess the level of risk and informs subsequent actions to ensure the client's safety.
D. The situation requires more immediate assessment and action due to the expressed suicidal ideation.

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When considering an individual's risk for suicide, which client will the nurse consider the priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the primary difference between somatic system disorders and dissociative disorders?

Correct Answer is B

Explanation

A nurse is caring for a client 3 days after admission for treatment of depression. The client leaves her current activity, approaches the nurse and states, "There's no reason to go on living. I just want to end it all." Which of the following actions should the nurse take?

Correct Answer is C

Explanation

When assessing for the subjective symptoms of posttraumatic stress disorder (PTSD), which question will the nurse ask a client hospitalized for severe anxiety related to a sexual assault by a family member as a teenager?

When considering an individual's risk for suicide, which client will the nurse consider the priority?

A client has made a successful suicide attempt while hospitalized on a unit that specializes in the treatment of depression. When considering both milieu control and crisis management, which intervention will the nursing staff implement?

A nurse is caring for a client following a suicide attempt. The client has a history ofdepression, substance abuse, and anorexia nervosa. Which of the following actions is the nurse's priority?

A soldier returns to the United States from active duty in a combat zone. The soldier is diagnosed with posttraumatic stress disorder (PTSD). The nurse's highest priority is to screen this soldier for which problem?