While caring for a depressed client, a nurse would evaluate the need for suicide precautions under which circumstance?
The client displays agitation.
The client becomes suddenly cheerful.
The client experiences psychomotor retardation.
The client does not attend group therapy.
The Correct Answer is B
A. Agitation can be a sign of distress, but sudden cheerfulness may be indicative of a decision to act on suicidal thoughts, as the individual may feel relieved to have made a decision.
B. Sudden cheerfulness can be a concerning sign, as it may indicate that the client has made a decision to carry out suicidal thoughts.
C. Psychomotor retardation is a symptom of depression and may not necessarily indicate imminent risk of suicide.
D. Not attending group therapy may be a sign of withdrawal or isolation, but it does not directly indicate immediate suicidal risk.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. This option describes a feeling of burden, but it doesn't specifically address persecution.
B. This option describes a delusion involving a familial relationship with a public figure, but it doesn't specifically address persecution.
C. This option describes a command hallucination, which can be related to violence, but it doesn't directly address feeling persecuted.
D. This option directly addresses the feeling of persecution by believing a powerful agency is actively seeking to harm the client.
Correct Answer is B
Explanation
A) Incorrect. While aging can contribute to cognitive changes, it is not the primary factor in the acute onset of delirium.
B) Correct. This statement highlights the acute and rapid onset of behavioral changes, which is characteristic of delirium. Delirium is an acute confessional state characterized by alterations in cognition, attention, and level of consciousness. It often has a sudden onset.
C) Incorrect. Chronic forgetfulness may be indicative of dementia or other cognitive disorders, but it does not support the acute onset seen in delirium.
D) Incorrect. Independence and living alone do not directly relate to the acute onset of delirium.
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