A client has made a successful suicide attempt while hospitalized on a unit that specializes in the treatment of depression. When considering both milieu control and crisis management, which intervention will the nursing staff implement?
Every client will be questioned concerning the impact the suicide had on him or her personally.
All group therapy sessions will be held on the unit for at least a 72-hour period.
Suicide precautions for a full 24 hours will be implemented for all clients.
A client-focused psychological postmortem assessment will be conducted immediately.
The Correct Answer is C
A. While assessing the impact of a suicide attempt on others is important, the immediate focus following a successful suicide attempt in a mental health unit is to ensure the safety of all clients.
B. Restricting group therapy for 72 hours might impede the therapeutic process and does not directly address the safety of clients after a suicide attempt.
C. Following a suicide attempt, it's standard practice to heighten monitoring and implement suicide precautions for all clients to ensure their safety.
D. While assessing the situation is important, immediate intervention to prevent further harm to other clients is a priority following a suicide attempt. The psychological assessment might occur but would not be the primary intervention in this immediate crisis situation.
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Related Questions
Correct Answer is C
Explanation
A. Sleep disturbances are common in PTSD, but they might not address the current acute symptoms the client is experiencing.
B. This question explores the immediate trigger for an outburst but might not directly address the PTSD symptoms related to the sexual assault.
C. Inquiring about flashbacks directly relates to one of the hallmark symptoms of PTSD, especially given the recent severe anxiety related to the assault.
D. Avoidance behavior is a symptom of PTSD, but the question about experiencing a flashback addresses more immediate distress.
Correct Answer is D
Explanation
A. While social support is essential, sudden changes in behavior warrant assessment and understanding before taking the client outside the facility.
B. Monitoring might be necessary but does not directly address the reason behind the sudden change in behavior.
C. This approach may reinforce the behavior without addressing the underlying cause.
D. This intervention is crucial for assessment and understanding the sudden shift in the client's mood, which could provide insight into the effectiveness of the treatment or other factors contributing to the change.
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