A 16-year-old female client who attempted suicide that morning is admitted to the psychiatric unit. To determine the seriousness of the adolescent's suicide attempt, which question is most important for the nurse to ask the family?
"How long has she seemed depressed?"
"Has she ever attempted suicide before?"
"Has anything occurred which might have precipitated this suicide attempt?"
"How did she attempt to kill herself?"
The Correct Answer is D
Choice A: Inquiring about how long the adolescent has seemed depressed is important for assessing the client's overall mental health history, but it may not provide immediate information about the seriousness of the suicide attempt.
Choice B: Asking about any previous suicide attempts is important for understanding the client's history and risk factors, but it does not directly assess the seriousness of the current attempt.
Choice C: Inquiring about any precipitating events is essential for understanding the context and triggers for the suicide attempt, but it may not be the most immediate question to assess seriousness.
Choice D: Asking "How did she attempt to kill herself?" is the most crucial question to assess the seriousness of the suicide attempt. It provides critical information about the method used, which can help determine the lethality of the attempt and guide immediate interventions and safety measures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A: Fats are an important component of the diet, but they do not typically require specific counting for meal planning in the same way that carbohydrates do for clients with type 1 diabetes mellitus.
Choice B: Carbohydrates are essential for the client to count for each meal and snack. Monitoring carbohydrate intake is a key aspect of managing blood glucose levels in clients with diabetes, especially for those using short-acting insulin to cover meals.
Choice C: Dairy products, while they contain carbohydrates, are not the primary nutrient that requires counting for meal planning in diabetes management.
Choice D: Protein is an important nutrient in the diet, but it does not require the same level of counting and monitoring as carbohydrates for clients with type 1 diabetes mellitus.
Correct Answer is B
Explanation
Choice A: Pretzels are a carbohydrate-rich snack with a high glycemic index, which can lead to spikes in blood glucose levels. Choosing pretzels does not indicate a good understanding of the diet teaching to avoid refined sugar and carbohydrates.
Choice B: Avocado is a healthy choice for a client with Type 2 diabetes mellitus (DM) who wants to avoid refined sugar and carbohydrates. Avocado is a source of healthy fats, fiber, and other nutrients and has a low glycemic index.
Choice C: Potatoes are starchy vegetables that are high in carbohydrates, particularly when prepared in ways like mashed potatoes or fries. Choosing potatoes does not align with the goal of avoiding refined sugar and carbohydrates.
Choice D: Grapes are a fruit that contains natural sugars, and consuming them can affect blood glucose levels. Choosing grapes does not demonstrate an understanding of the need to avoid refined sugar and carbohydrates.
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