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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This response may come across as dismissive and does not address the client’s immediate distress or concerns. It could potentially invalidate the client's feelings and exacerbate their agitation. Effective communication should involve acknowledging the client's distress and providing a supportive response.
B. This response acknowledges the client's emotional state and invites them to express their concerns. It shows empathy and provides an opportunity for the nurse to understand the underlying issue driving the client's need to see the provider. This approach helps in validating the client's feelings and addressing their immediate needs, which can be important in managing their symptoms.
C. This response may come across as dismissive or neglectful of the client’s immediate needs. It does not address the client’s current distress and could lead to increased anxiety or frustration. It’s important to address the client’s concerns in the moment rather than delaying the response.
D. This response may seem dismissive and does not offer support or understanding of the client's current emotional state. It may also fail to address the immediate urgency or distress the client is experiencing. It is important to engage with the client empathetically and address their concerns promptly.
Correct Answer is D
Explanation
A. Projection involves attributing one’s own unacceptable feelings or thoughts onto another person. However, in this case, the patient’s tantrum and crying are more about their own inability to handle the refusal rather than projecting feelings onto others.
B. Repression is a defense mechanism where distressing thoughts or feelings are unconsciously blocked from entering awareness. For instance, if the patient were to push aside their feelings of disappointment about not receiving the diet pills without expressing them, that would be repression.
C. Denial involves refusing to accept reality or facts that are distressing or threatening. However, the primary behavior in this situation is the tantrum and crying, which are more indicative of another defense mechanism rather than outright denial.
D. Regression is a defense mechanism where an individual reverts to behaviors characteristic of an
earlier developmental stage in response to stress or conflict. The patient’s crying and tantrum can be seen as regressive behavior because it reflects a return to more childlike or immature ways of handling frustration, similar to how a child might react to not getting what they want.
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