A client who is threatening to commit suicide should receive mental health care in which setting?

Group home

Long-term mental health facility

Outpatient mental health clinic

Inpatient mental health unit

Answer and Explanation

The Correct Answer is D

A.   Group homes provide supportive living environments for individuals with chronic mental health issues or those who need assistance with daily living but are not in acute crisis. While beneficial for long-term support and rehabilitation, a group home may not offer the intensive and immediate care required for someone who is actively suicidal.
B.   Long-term mental health facilities are designed for ongoing treatment and support for individuals with severe and chronic mental health conditions. While they offer extensive services and support, they are typically not intended for clients who need immediate stabilization and short-term care for acute suicidal ideation.
C.   Outpatient clinics provide regular therapy and support for individuals with less acute needs. While they are valuable for ongoing mental health care and management, they may not be equipped to handle a client in immediate danger of suicide who requires 24/7 monitoring and intensive intervention.
D.   An inpatient mental health unit is designed for individuals experiencing severe mental health crises, including suicidal ideation. It provides intensive, round-the-clock care, including monitoring, psychiatric evaluation, and immediate crisis intervention.

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Correct Answer is A

Explanation

A. A physical disease, especially a chronic one, can significantly impact a person's physical and mental well-being, leading to a decline in functional capacity.
B. While crises can be challenging, they are often temporary and do not necessarily lead to a long-term decline in functional capacity.
C. While a support system is crucial for overall well-being, its absence does not always lead to a significant decline in functional capacity. Many people can cope with challenges without a formal support system.
D. While essential for overall health, nutritional deficits typically lead to a gradual decline in functional capacity unless they are severe and prolonged.

A. Preferring to eat his meals while watching TV B. Planning to give his CD collection to his girlfriend C. Telling his parents that he doesn't want to talk about the attempt D. Stating that he wants to be with his peers more than with his parents

Correct Answer is B

Explanation

A. Preferring to eat meals while watching TV is a common behavior that is not specifically associated with suicidal ideation. It may simply reflect the adolescent's comfort or routine preferences rather than a sign of continued suicidal intent.
B. Giving away personal belongings, such as a CD collection, can be a sign that the adolescent is making arrangements for their belongings in case of death. This behavior can sometimes suggest that the individual may be planning for their end, which could indicate lingering suicidal thoughts. It's important to explore this behavior further with the adolescent to understand their intentions and state of mind.
C. While avoidance of discussing the suicide attempt may indicate emotional distress or a reluctance to engage, it does not directly point to ongoing suicidal intent. It could also reflect a desire for privacy or difficulty in expressing feelings, rather than a clear indication of suicidal ideation.
D. Adolescents often express a desire to spend more time with peers rather than family, which is a common developmental behavior. This preference alone does not necessarily indicate suicidal intent and is more reflective of typical adolescent social behavior.

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A client who is threatening to commit suicide should receive mental health care in which setting?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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