A client has expressed suicidal thoughts to the nurse. Select all the warning signs for suicide that the nurse should be aware of.
Expressing hopelessness or worthlessness.
Engaging in positive coping strategies.
Increasing alcohol or drug use.
Talking about wanting to die.
Withdrawing or isolating oneself.
Correct Answer : A
Choice A rationale:
Expressing hopelessness or worthlessness is a significant warning sign for suicide. When a person communicates feelings of hopelessness or worthlessness, it indicates a deep emotional distress that may lead to suicidal thoughts or actions. This feeling of being trapped in a state of hopelessness can make suicide seem like the only way out. The nurse should be especially attentive when a client expresses such emotions and should take appropriate steps to assess and address their mental state.
Choice B rationale:
Engaging in positive coping strategies is not a warning sign for suicide. In fact, individuals who are actively using positive coping mechanisms are likely trying to manage stressors and emotional difficulties in a healthier way. These strategies can include seeking social support, practicing mindfulness, engaging in hobbies, and exercising. Positive coping strategies are indicative of an individual's effort to improve their mental well-being rather than a heightened risk of suicide.
Choice C rationale:
Increasing alcohol or drug use is a warning sign for suicide. Substance abuse can often be a way for individuals to numb emotional pain or distress. If someone is using alcohol or drugs as a means of escape, it can be a sign that they are struggling with their emotions and may be at an increased risk of suicidal ideation or behavior. It's important for the nurse to recognize this pattern and address the underlying emotional issues along with substance use.
Choice D rationale:
Talking about wanting to die is a warning sign for suicide. When an individual openly talks about wanting to die or expressing a desire to end their life, it's a serious indication of their mental state. Such statements should always be taken seriously, and appropriate assessments and interventions should be implemented to ensure the person's safety. This may involve involving mental health professionals or crisis intervention teams.
Choice E rationale:
Withdrawing or isolating oneself is a warning sign for suicide. Social withdrawal or isolation can be a sign that a person is experiencing emotional pain or struggling with their mental health. A sudden shift from being socially active to isolating oneself may indicate that the person is dealing with overwhelming emotions and could potentially be contemplating suicide as a way to escape their distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
This statement indicates a clear and direct expression of suicidal ideation. The phrase "wish all of this would end" strongly implies a desire for one's life to end, which is a significant concern in assessing a patient with suicidal thoughts. Immediate intervention is necessary to ensure the patient's safety and address their emotional distress.
Choice B rationale:
This statement, "I have been feeling really down lately," expresses a general sense of sadness and low mood. While it suggests emotional distress, it does not explicitly convey a direct intention for self-harm or suicide. However, it should not be ignored and should be explored further during the assessment.
Choice C rationale:
"I've been making a list of things I want to do before I die" is a statement that may have different implications. While it could relate to the patient's interests and goals, it does not necessarily indicate a current intent for suicide. It is important to clarify the context and content of the list before drawing any conclusions.
Choice D rationale:
"I think things might get better if I reach out to my friends" suggests that the patient is considering seeking support from friends, which is generally a positive coping strategy. This statement does not express an immediate risk of self-harm or suicide. However, it's still essential to evaluate the patient's overall emotional state and social support.
Correct Answer is B
Explanation
Choice A rationale:
Leaving the client alone to give them space is not a suitable intervention for someone with a history of suicide attempts and depression. Isolation can increase the risk of acting on suicidal thoughts, and the client needs close monitoring and support during this vulnerable time.
Choice B rationale:
Removing any potential means of self-harm from the client's environment is essential. This intervention helps reduce the immediate risk by limiting access to harmful items. It's a crucial step in creating a safer environment for the client and preventing impulsive acts of self-harm.
Choice C rationale:
Encouraging the client to confront their feelings of hopelessness is important, but it should be done in a supportive and therapeutic manner. Simply telling someone to confront their feelings without appropriate guidance can be overwhelming and unproductive.
Choice D rationale:
Telling the client that they should be grateful for what they have minimizes their emotional experience and does not address the complexity of depression and suicidal ideation. This statement lacks empathy and understanding of the client's struggles.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.