A nurse answers a suicide crisis line. A caller says, "I live alone in a home several miles from my nearest neighbors. I have been considering suicide for 2 months. I have had several drinks and now my gun is loaded. I'm going to shoot myself in the heart." How would the nurse assess the lethality of this plan?

Moderate level

High level

No risk

Low level

Answer and Explanation

The Correct Answer is B

A.   Moderate level would suggest a plan that has some risk but may be less imminent or less likely to result in death.
B.   A plan involving a loaded gun aimed at a vital organ like the heart, coupled with alcohol consumption and intent, indicates a high level of lethality.
C.   This scenario presents a significant risk given the method and the caller's intent, so "No risk" would not be appropriate.
D.   Low level would suggest a plan that is less likely to cause severe harm or death, which is not the case here.

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Correct Answer is B

Explanation

A. Elevated levels of serotonin are associated with a potential treatment for depression but aren't considered a primary risk factor for developing depression.
B. Past history of childhood trauma, such as abuse or neglect, is a well-established risk factor for the development of depression later in life.
C. Being an only child is not recognized as a primary risk factor for depression.
D. Recent history of stressful positive life events might not be a primary risk factor for depression; in some cases, it could be a protective factor.

A. "Providers are required to warn individuals if the client threatens harm." B. "Health care workers are not required to answer a court's requests for information about a client's disclosure." C. "Staff members are required to divulge information to attorneys if they call for information." D. "The legal requirement for client confidentiality ceases if the client is deceased."

Correct Answer is A

Explanation

A. This statement refers to the "duty to warn," a legal obligation to protect third parties if a client expresses a serious threat of harm to others. It's a crucial exception to confidentiality.
B. This statement is inaccurate as there are scenarios where healthcare workers are legally required to provide information to the court.
C. This statement is not entirely accurate; there are legal boundaries and requirements for disclosing client information to attorneys.
D. Confidentiality extends even after a client's death in many situations, but there are exceptions based on state laws and ethical guidelines.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching for a client who has a recent diagnosis of depression. Which of the following should the nurse identify as a primary risk factor for this disorder?

Correct Answer is B

Explanation

A nurse is discussing legal exceptions to client confidentiality with nursing staff. Which of the following statements by a staff member indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who was involved in heavy combat and observed war casualties. The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if the client makes which of the following statements?

A patient states, "I'm starting cognitive behavioral therapy. What can I expect from the sessions? Which responses by the nurse are appropriate? (Select all that apply.)

An individual has been diagnosed with a dissociative disorder. Which comorbid psychiatric disorders are most likely to accompany this type of mental illness? (Select all that apply.)

A nurse is caring for a client following a suicide attempt. The client has a history ofdepression, substance abuse, and anorexia nervosa. Which of the following actions is the nurse's priority?

A patient diagnosed with major depressive disorder begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy. Priority information given to the patient and family should include a directive to do what?

A patient cries as the nurse explores the patient's relationship with a deceased parent. The patient says, "I shouldn't be crying like this. It happened a long time ago." Which responses by the nurse will facilitate communication? (Select all that apply.)

A nurse is providing teaching for a client who has major depressive disorder and is seeking voluntary admission to an acute mental health facility. Which of the following statements should the nurse include?