A client with a history of a suicide attempt has been discharged and is being followed in an outpatient clinic. What is/are the most appropriate nursing intervention(s)? (SELECT ALL THAT APPLY)

Isolate the client from all stressful situations that may precipitate a suicide attempt.

Have a one-to-one sitter for outpatient use.

Identify community resources for the client to use in a crisis.

Educate the family about providing a safe and structured environment for the client.

Assist the client to develop more effective coping mechanisms.

Answer and Explanation

Correct Answer : C,D,E

C. Identifying community resources is essential as it provides the client with accessible support during crises.
D. Educating the family about creating a safe and structured environment is also important because it involves the client's support system in their care, which can help prevent future crises.
E. Assisting the client in developing more effective coping mechanisms is vital for long-term management and recovery, as it empowers the client to handle stressors more healthily.
A. Isolating the client from all stressful situations is not practical or beneficial as it does not teach coping mechanisms or resilience.
B. Having a one-to-one sitter might be necessary in some inpatient settings but is not feasible or indicated for outpatient care.

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Correct Answer is C

Explanation

C. Individuals with BPD often experience intense fears of abandonment and may go to great lengths to avoid being alone. They may also have difficulties being alone due to chronic feelings of emptiness and the need for others to help manage emotions. This characteristic is consistent with the known symptoms of BPD, which include efforts to avoid real or perceived abandonment and a pattern of intense and unstable relationships.
A. Individuals with borderline personality disorder (BPD) often struggle with regulating their emotions, including anger. While they may experience intense emotions such as anger, they typically have difficulty controlling or expressing it in a healthy and adaptive manner.
B. Stable and satisfactory relationships: Stability in relationships is often a challenge for individuals with BPD. They may experience intense and unstable interpersonal relationships characterized by idealization and devaluation of others.
D. Predictability is generally lacking in individuals with BPD due to their emotional instability, impulsivity, and difficulty regulating their behaviors and responses to situations.

A. "It's just a matter of time and I will be well." B. "I can fight this and lick it." C. "I deserve to be this way." D. "If I ignore this, it will go away."

Correct Answer is C

Explanation

C. This attitude suggests a sense of self-blame or low self-worth commonly seen in individuals with depression. They may feel undeserving of happiness or believe that their suffering is justified. This attitude can hinder the individual's willingness to seek help or engage in treatment, as they may believe that they do not deserve support or that their situation is hopeless.
A. This attitude may reflect optimism or hopefulness which is not a common finding in individuals with depression. Hopelessness is more common in depression.
B. This attitude reflects a sense of determination and agency in overcoming the illness. This is not a typical finding in depression.
D. Some individuals with depression may attempt to cope by minimizing or ignoring their symptoms, hoping that they will resolve on their own. However, untreated depression typically does not improve without intervention and may worsen over time.

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A client with a history of a suicide attempt has been discharged and is being followed in an outpatient clinic. What is/are the most appropriate nursing intervention(s)? (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In assessing a client diagnosed with borderline personality disorder, which characteristic would the nurse expect to observe?

Correct Answer is C

Explanation

During assessment, the nurse is most likely to find the attitude of the depressed client toward his illness to be:

Correct Answer is C

Explanation

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