A newly licensed nurse asks a charge nurse, "What is the difference between a suicide attempt and self-harm?" Which of the following responses should the charge nurse give?
"A suicide attempt is the manner in which someone kills themselves. Self-harm is just the person acting out."
"A suicide attempt is when a person harms themselves with the intent to die but does not. Self-harm is when a client intentionally inflicts harm on themselves but does not have intention to kill themselves."
"When a client attempts suicide, they do so in a manner by causing self-harm."
"The two terms are the same and can be used interchangeably."
The Correct Answer is B
Rationale:
A. This response incorrectly defines suicide attempts and self-harm and oversimplifies the concept of self-harm.
B. A suicide attempt involves self-harm with the intent to die, whereas self-harm (or self-injury) involves harming oneself without the intention of death. This response accurately differentiates between the two.
C. Suicide attempts can involve self-harm, but not all self-harm is intended as a suicide attempt. This response conflates the terms.
D. The terms are not interchangeable; understanding their differences is crucial for accurate assessment and intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Negative stigmatization for mental illness is a well-documented issue that affects individuals with mental health conditions, leading to discrimination and social exclusion.
B. Bias is not isolated to inpatient settings but can occur in various healthcare contexts and beyond.
C. Bias is often unconscious and can be subtle, not necessarily a deliberate or conscious act.
D. Favoring clients based on their mental illness is not typically a form of bias; instead, it can be indicative of personal biases or misconceptions about mental health.
Correct Answer is B
Explanation
Rationale:
A. Pill rolling movements and drooling are more characteristic of Parkinson’s disease rather than serotonin syndrome.
B. Serotonin syndrome can present with autonomic instability such as dilated pupils, hyperthermia, and loss of muscle coordination due to increased serotonin levels.
C. Tinnitus is not a common symptom of serotonin syndrome; jerking movements may occur but are not specific to this condition.
D. Suicidal ideations are not typical of serotonin syndrome; they may be more related to underlying mood disorders or medication effects.
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