Which of the following is a recommended safety intervention for a teenager admitted to the hospital for suicide ideation?
Allow the teenager to keep their personal belongings, including sharp objects, in their room.
Ensure continuous monitoring by assigning a mental health professional to check on the teenager every hour.
Implement a no-suicide contract with the teenager to guarantee they will not harm themselves.
Remove any items in the room that could be used for self-harm and provide continuous supervision.
The Correct Answer is D
Choice A rationale
Allowing a teenager with suicide ideation to keep personal belongings, especially sharp objects, presents an immediate and significant safety risk. Such items can be readily used for self-harm, undermining the primary goal of ensuring the patient's physical safety in a hospital environment. The environment must be strictly controlled to remove potential means of self-injury.
Choice B rationale
While continuous monitoring is crucial for a teenager with suicide ideation, checking on them every hour is insufficient. The inherent risk of self-harm requires constant, direct observation to intervene immediately if the teenager attempts to harm themselves. Hourly checks leave ample time for potential self-injurious behaviors to occur unsupervised.
Choice C rationale
A no-suicide contract, while sometimes used as a therapeutic tool, does not guarantee that a teenager will not harm themselves. It relies on the patient's commitment, which can be overridden by intense emotional distress or impulsive urges. This intervention should never replace stringent safety measures like continuous supervision and environmental control in an acute setting.
Choice D rationale
Removing any items that could be used for self-harm and providing continuous supervision are essential safety interventions. This creates a secure environment by eliminating immediate means of injury and ensures constant observation, allowing for immediate intervention during an emergent situation. This approach directly mitigates the risk of self-harm in a vulnerable patient.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Increased dietary fiber (cellulose) adds bulk to the stool, promoting peristalsis and facilitating bowel movements. Adequate fluid intake is crucial for softening stool and preventing dehydration, which can exacerbate constipation. Together, these interventions physically aid in the formation and passage of softer, more regular stools, addressing the root cause of pregnancy-related constipation.
Choice B rationale
Regular use of a laxative, especially stimulant laxatives, is generally discouraged during pregnancy due to potential for dependency, electrolyte imbalances, and uterine contractions. While some bulk-forming laxatives might be considered, the primary recommendation focuses on dietary and lifestyle modifications as a safer and more physiological approach to managing constipation.
Choice C rationale
Maintenance of good posture can influence comfort and spinal alignment, but it does not directly address the physiological mechanisms contributing to constipation, such as slowed gastrointestinal motility or insufficient dietary fiber and fluid. While beneficial for overall well-being, it is not a primary intervention for alleviating constipation.
Choice D rationale
Regular use of glycerin suppositories acts as a local irritant and osmotic agent to soften and stimulate the rectum for defecation. While they can provide temporary relief, they do not address the underlying causes of constipation in pregnancy and their regular use can lead to dependency, hindering the body's natural bowel function.
Correct Answer is B
Explanation
Step 1: May 4 is the first day of the last menstrual period.
Step 2: Add 7 days to May 4, which equals May 11.
Step 3: Count back 3 months from May, which leads to February.
Step 4: Therefore, the estimated date of delivery is February 11.
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