A nurse in a mental health facility is assessing a client.
- The client has a medical history of major depressive disorder for 20 years, anxiety disorder, suicide ideation during teenage years, and psychotherapy for the past 10 years with a therapist.
- The client's mother committed suicide when the client was 25 years of age, and the father died of heart disease 10 years ago.
- The client has a history of alcohol misuse, attended in-patient rehabilitation 4 years ago with no alcohol use since that time.
- The nurse notes indicate good physical health with no reported morbidities.
For each client assessment finding, specify if the finding is a potential risk for suicide or a protective factor against suicide.
Mental health support
Family history
Physical health
Support systems
Alcohol consumption
Access to lethal means.
The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"A"}}
The correct answer/s is Choice/s.
Choice A rationale: Mental health support is generally considered a protective factor against suicide. Effective mental health care can help individuals manage their mental health conditions, which can reduce the risk of suicide.
Choice B rationale: Family history, particularly a family history of suicide, is a risk factor for suicide. The client’s mother’s suicide could potentially increase the client’s risk.
Choice C rationale: Good physical health is typically seen as a protective factor against suicide. Serious physical health conditions, including chronic pain, can increase suicide risk, but the client is reported to be in good physical health.
Choice D rationale: Support systems, such as feeling connected to family and community, are protective factors against suicide. They can provide emotional support and help individuals feel less isolated.
Choice E rationale: Alcohol consumption, especially misuse or addiction, is a risk factor for suicide. However, the client has attended rehabilitation and has not used alcohol for the past 4 years, which could be seen as a protective factor.
Choice F rationale: Access to lethal means is a risk factor for suicide. Limiting access to lethal means is a societal protective factor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
Step 1: Identify the required dose of lithium, which is 300 mg.
Step 2: Identify the available dose of lithium carbonate, which is 150 mg per capsule.
Step 3: Calculate the number of capsules needed using the formula: Number of capsules = Required dose ÷ Available dose.
Numberofcapsules=300 mg150 mg/capsule
\(Number\ of\ capsules = {300\ mg \over 150\ mg/capsule}\)
Step 4: Solve the equation.
Numberofcapsules=2 capsulesNumberofcapsules=2capsules
So, the nurse should administer 2 capsules per dose to achieve the required lithium dose of 300 mg.
Correct Answer is C
Explanation
The correct answer is choice c. “In my dreams, all I can see are the wounded reaching out and trying to grab me.”
Choice A rationale:
This statement indicates hypervigilance and paranoia, which can be symptoms of PTSD, but it is more indicative of a delusional disorder or severe anxiety.
Choice B rationale:
This statement reflects a possible delusion of grandeur or a coping mechanism to deal with trauma, but it does not directly indicate PTSD.
Choice C rationale:
This statement describes a recurring nightmare, which is a common symptom of PTSD. Individuals with PTSD often relive traumatic events through nightmares or flashbacks.
Choice D rationale:
This statement suggests a belief in a cause-and-effect relationship that may not be accurate. It could indicate guilt or a misunderstanding of the situation, but it is not a direct symptom of PTSD.
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