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 psycho-motor retardation

The client does not attend group therapy

Answer and Explanation

The Correct Answer is B

A. The client displays agitation.
Agitation can be a symptom of depression, but it is not necessarily an immediate sign of increased suicide risk.
B. The client becomes suddenly cheerful.
A sudden and unexpected shift from a depressed and sad mood to an uncharacteristically cheerful mood can be indicative of a potential increase in suicidal risk. This change in affect may suggest that the client has made a decision to end their life and is feeling relief or optimism about it. Such a shift in mood, especially when it appears out of context, is concerning and should prompt the nurse to assess for suicidal ideation and risk.
C. The client experiences psychomotor retardation.
Psychomotor retardation is a common symptom of depression, but it does not necessarily indicate an immediate need for suicide precautions by itself.
D. The client does not attend group therapy.
Missing group therapy sessions may be a concern, but it does not directly indicate an immediate need for suicide precautions. It may warrant further assessment and intervention, but the urgency is not as high as with a sudden shift to a cheerful mood.

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Correct Answer is B

Explanation

A. "Allow him to continue the conversation at his own pace": Allowing the client to continue at his own pace might not be the most therapeutic approach in this case. Circumstantiality involves providing excessive and irrelevant details, making it challenging to maintain a focused and effective conversation. It can be frustrating for both the client and the listener.
B. "Redirect the conversation to assist him in focusing on the topic": This is the best choice. Redirecting the conversation can help the client stay on the topic and prevent excessive tangential or irrelevant information. It can facilitate more effective communication and help the client convey their thoughts in a more organized manner.
C. "Stop him and tell him how his conversation sounds to others": Stopping the client and directly confronting them about how their conversation sounds to others may not be the most therapeutic approach. It can be perceived as confrontational and may lead to defensiveness or anxiety in the client.
D. "Use the communication technique of reflecting": While reflecting is a valuable therapeutic communication technique, it may not be as effective in addressing circumstantiality, as it doesn't directly address the issue of the client going off on tangents or providing excessive details. Redirecting the conversation is more specific to managing circumstantiality.

In summary, option B is the best choice because it involves a therapeutic intervention by redirecting the conversation to help the client focus on the topic at hand, which can be more effective in managing circumstantiality and facilitating meaningful communication.

A. As depression lifts, physical energy becomes available to carry out suicide. B. Suicide may be precipitated by a variety of internal and external events C. Suicidal clients have difficulty using social supports D. Suicide is an impulsive act that has no warning.

Correct Answer is A

Explanation

A. As depression lifts, physical energy becomes available to carry out suicide.
Depressed individuals who begin to experience improvement in their mood as a result of antidepressant therapy may paradoxically become more at risk for suicide. This is because as their depressive symptoms lift, they may gain the physical and emotional energy needed to carry out suicidal thoughts or plans. It is essential for healthcare providers to closely monitor these individuals during the early stages of treatment when this risk is highest. This rationale highlights the importance of vigilance and monitoring to ensure the client's safety.
B. Suicide may be precipitated by a variety of internal and external events, which is a general statement about the triggers of suicidal thoughts or actions.
C. Suicidal clients have difficulty using social supports, which emphasizes the need for supportive interventions but does not specifically address the increased risk during antidepressant therapy.
D. Suicide is an impulsive act that has no warning, which is not entirely accurate. Many individuals who experience suicidal thoughts or behaviors do give warning signs or signals that can be recognized and addressed by healthcare providers and others in their support network.

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While caring for a depressed client a nurse would evaluate the need for suicide precautions under which circumstance

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

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