Which of the following nursing interventions takes priority with a newly admitted client having suicidal ideations
Educate the patient at the time period before new medications before affective
Have the client verbalize their plans for discharge
Encouraging the client to participate in group therapy
Monitor the client closely but at random intervals
The Correct Answer is D
A. Educate the patient about the time period before new medications become effective. Education is important but not the priority in a crisis situation. Immediate safety is the top concern.
B. Have the client verbalize their plans for discharge. This is a future-oriented intervention, but the priority is ensuring the client's safety now.
C. Encouraging the client to participate in group therapy. Group therapy is beneficial but does not take precedence over ensuring immediate safety.
D. Monitor the client closely but at random intervals. Patients with suicidal ideation require close monitoring to prevent self-harm. Observing at random intervals reduces the chance of the patient anticipating when they are not being watched.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Restricts the client's ability to eat, speak, or drink: Unlike a mask, a nasal cannula allows the client to eat, drink, and speak freely.
B. Delivers a low concentration of oxygen: A nasal cannula delivers a low oxygen concentration (24%-44%) at flow rates of 1-6 L/min.
C. Delivers a constant rate of a specific concentration of oxygen: Oxygen concentration varies depending on the client's breathing pattern with a nasal cannula, making it not a fixed concentration delivery system.
D. Delivers a high concentration of oxygen: High-flow oxygen delivery systems like a non-rebreather mask or Venturi mask are needed for high oxygen concentrations.
Correct Answer is D
Explanation
A. A 30-year-old rich man: While anyone can develop depression, wealth and younger age generally lower the risk.
B. A 70-year-old married man in a two-income household: Having a supportive spouse and financial stability generally lower depression risk in older adults.
C. A 24-year-old married woman in a single-income home: While financial stress may be a risk factor, younger married individuals tend to have more social support, reducing their overall risk.
D. A 64-year-old single woman: Older women, especially those who are single, widowed, or lacking social support, have an increased risk for depression. The risk is compounded by potential health issues and isolation.
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