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."

Answer and Explanation

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.

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Correct Answer is A

Explanation

Rationale:

A. Taking bronchodilators before meals can help improve breathing, which is essential for eating comfortably, so it is better to take them before meals rather than after.

B. Resting before eating helps conserve energy and can make eating easier for individuals with COPD.

C. Eating small, frequent meals is beneficial for managing COPD because it prevents large meals that can lead to respiratory discomfort.

D. Choosing non-gas-forming foods can help reduce abdominal distention and discomfort during meals for individuals with COPD.

A. Anabolic steroids B. Hallucinogens C. Stimulants D. Opioids

Correct Answer is B

Explanation

Rationale:

A. Anabolic steroids are associated with mood swings and aggressive behavior but are less likely to cause the acute symptoms of paranoia, hallucinations, and severe agitation described here.

B. Hallucinogens, such as LSD or PCP, can cause intense paranoia, hallucinations, and erratic behavior, as seen in the client’s symptoms. These substances often lead to altered perceptions of reality, including visual and auditory hallucinations.

C. Stimulants like cocaine or methamphetamines can cause paranoia and hyperactivity but are less likely to cause the vivid hallucinations described.

D. Opioids typically cause drowsiness, respiratory depression, and a sense of euphoria rather than hallucinations and severe agitation.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Correct Answer is B

Explanation

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