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. Clients with anorexia nervosa often develop a preoccupation with food (collecting recipes, cooking for others, watching others eat) despite restricting their own intake. This is a classic behavioral indicator.
B. Reporting high energy levels is not characteristic of anorexia nervosa, where clients often suffer from fatigue due to inadequate nutrition.
C. Enjoying wearing form-fitting clothes is more indicative of a positive body image, which is not typical of those with anorexia nervosa.
D. Clients with anorexia do not recognize they are underweight; instead, they perceive themselves as “fat.” This statement shows insight into thinness, which is not typical of anorexia.
Correct Answer is A
Explanation
Rationale:
A. Stopping the transfusion is the priority action as it is essential to prevent further potential adverse effects and initiate an investigation of a possible transfusion reaction.
B. Assessing the skin for a rash is important but secondary to stopping the transfusion.
C. Notifying the provider is necessary, but the immediate priority is to stop the transfusion.
D. Covering the client with a blanket does not address the potential severity of a transfusion reaction.
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