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,C,D,E
The correct answers are A. Expressing hopelessness or worthlessness, C. Increasing alcohol or drug use, D. Talking about wanting to die, and E. Withdrawing or isolating oneself.
Choice A rationale:
Expressing feelings of hopelessness or worthlessness is a significant warning sign of suicide. These feelings often indicate severe emotional distress and a lack of perceived future.
Choice B rationale:
Engaging in positive coping strategies is generally a protective factor against suicide, not a warning sign.
Choice C rationale:
Increasing alcohol or drug use can be a sign of self-medicating to cope with emotional pain, which is a common warning sign of suicidal ideation.
Choice D rationale:
Talking about wanting to die is a direct indicator of suicidal thoughts and should always be taken seriously.
Choice E rationale:
Withdrawing or isolating oneself is a common behavior in individuals contemplating suicide, as they may feel disconnected from others or believe they are a burden.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A.Administering prescribed antidepressant medication,
B. Assisting the client in creating a hope box,
C. Teaching relaxation techniques to the client, and E. Providing education about the importance of follow-up care.
Choice A rationale:
Administering prescribed antidepressant medication is an important intervention for a client with suicidal ideation who may be experiencing underlying depression. Antidepressants can help alleviate depressive symptoms, which can contribute to an improved mental state and decreased risk of self-harm.
Choice B rationale:
Assisting the client in creating a hope box is a valuable intervention. A hope box is a collection of items that hold personal significance and provide comfort to the client during times of distress. This intervention encourages the client to focus on positive aspects of their life, fostering hope and resilience.
Choice C rationale:
Teaching relaxation techniques to the client equips them with coping strategies to manage stress and anxiety. These techniques can help the client regulate their emotions and reduce feelings of distress, which are essential for preventing suicidal ideation.
Choice D rationale:
Encouraging social isolation is not appropriate for a client with suicidal ideation. Isolation can exacerbate feelings of loneliness and hopelessness, increasing the risk of self-harm. Instead, promoting social connections and a supportive network can contribute to the client's well-being.
Choice E rationale:
Providing education about the importance of follow-up care is crucial for a client's ongoing well-being. Follow-up care ensures that the client continues to receive necessary support and interventions, reducing the risk of relapse and maintaining their progress toward recovery.
Correct Answer is ["B","C","E"]
Explanation
Choice A rationale:
Engaging in team sports is generally a positive activity and does not typically indicate suicidal ideation. While team sports can have mental health benefits, it is important to focus on the other signs that are more strongly associated with potential suicide risk.
Choice B rationale:
Expressing feelings of hopelessness is a significant warning sign of suicidal ideation. When individuals consistently express a sense of hopelessness, it could indicate that they feel trapped in their current situation and may be contemplating suicide as a way out.
Choice C rationale:
Withdrawing from social activities is a red flag for potential suicidal ideation. Social withdrawal can be indicative of a lack of interest in activities once enjoyed, a desire to isolate oneself, and an increased sense of loneliness and isolation, all of which are concerning signs.
Choice D rationale:
Demonstrating good academic performance is generally not a strong indicator of suicidal ideation. It's important to consider other emotional and behavioral signs that are more closely related to mental distress.
Choice E rationale:
Participating in creative hobbies can be a warning sign of suicidal ideation, especially if there is a sudden loss of interest in activities that the person used to enjoy. Creative hobbies may serve as an outlet for emotions, and a decrease in engagement could signal emotional turmoil.
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