A client notifies a treatment team member of current suicidal ideation. Which nursing intervention would take priority?

Assess for past history of suicide attempts.

Determine whether the client has a specific plan to commit suicide.

Identify coping mechanisms.

Notify all members of the treatment team and place the client on suicide precautions.

Answer and Explanation

The Correct Answer is D

D. Suicide precautions involve implementing safety measures and close monitoring to prevent the client from engaging in self-harm or suicide attempts. This may include continuous observation, removal of

potentially harmful objects or substances from the client's environment, and close supervision by staff members trained in suicide prevention.
A. Assessing for past suicide attempts can provide valuable information about the severity of the client's suicidal ideation, their previous experiences with suicidal behavior, and any patterns or triggers associated with suicidal crises. However, it is not a priority.
B. Assessing for a specific suicide plan allows the treatment team to evaluate the level of risk and urgency of intervention required to keep the client safe. However, with or without a plan, safety should be prioritized.
C. identifying coping mechanisms is important for overall mental health and well-being. However, it is not the priority intervention when a client reports current suicidal ideation.

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Correct Answer is B

Explanation

B. Impulsive individuals tend to act quickly without fully considering the consequences of their actions. There is often little to no delay between the thought or impulse and the resulting behavior.
A. Individuals who are impulsive tend to have difficulty delaying gratification and may act on immediate impulses without considering long-term consequences.
C. Impulsivity is not necessarily related to moral behavior. While impulsive individuals may sometimes engage in behaviors that conflict with their moral code, impulsivity itself does not indicate adherence or lack thereof to a moral code.
D. Impulsivity is more about acting quickly without forethought rather than deliberately manipulating or controlling situations.

A. must perform other psychomotor tests to determine intoxication. B. is legally intoxicated. C. would be considered intoxicated depending on state law requirements. D. has a BAL within legal limits.

Correct Answer is B

Explanation

B. In the United States, the legal limit for blood alcohol concentration (BAC) is 0.08%. A BAC of 0.11 g/dL exceeds this limit, indicating that the client is indeed legally intoxicated.
A. Psychomotor tests, such as field sobriety tests, may be performed to assess the client's level of impairment and determine if they are intoxicated when the BAL is below threshold for intoxication.
C. State laws do not vary in this regard for the legal limit of BAC for driving; however, penalties and specific charges can vary from state to state.
D. A blood alcohol level (BAL) of 0.11 g/dL is above the legal limit for driving in many jurisdictions, where the legal limit is typically set at 0.08 g/dL.

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A client notifies a treatment team member of current suicidal ideation. Which nursing intervention would take priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A physician mentions to a nurse that a newly admitted client is impulsive. The nurse should assess for behavior characterized by:

Correct Answer is B

Explanation

A client is seen in the Emergency Department (ED) following a motor vehicle accident. The client's blood alcohol level (BAL) is 0.11 g/dL. The nurse assesses that this client:

Correct Answer is B

Explanation

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