A nurse in an acute care mental health facility is assessing a client who has bipolar disorder. Which of the following findings indicates the client is at risk for suicide?

The client has begun playing basketball with several other clients during the past month.

The client identifies with problems expressed by other clients.

The client's behavior has become impulsive in the past few weeks.

The client states she wants to go home to be with her children and partner.

Answer and Explanation

The Correct Answer is C

A. The client has begun playing basketball with several other clients during the past month.

Engaging in activities and social interactions can actually be a positive sign, as it suggests involvement and connection with others, which can be protective against suicide.

B. The client identifies with problems expressed by other clients.

Identifying with others' problems may indicate empathy, but it is not necessarily indicative of suicide risk on its own.

C. The client's behavior has become impulsive in the past few weeks.

Explanation: Impulsivity can be a significant risk factor for suicide. A sudden increase in impulsive behavior might indicate that the client is not thinking clearly and is acting without considering the potential consequences. Impulsivity can lead to actions that are harmful or dangerous, including suicidal behaviors.

D. The client states she wants to go home to be with her children and partner.

Expressing a desire to be with loved ones is generally not an indicator of suicide risk. In fact, having a strong support system can be protective against suicidal thoughts.

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Correct Answer is ["0.75"]

Explanation

To calculate the volume (ml) of haloperidol decanoate needed for a dose of 75 mg, you can use the following formula:

Volume (ml) = Dose (mg) / Concentration (mg/ml)

Given:

Dose = 75 mg

Concentration = 100 mg/ml

Plugging in the values:

Volume (ml) = 75 mg / 100 mg/ml

Volume (ml) = 0.75 ml

Rounding to the nearest hundredth:

Volume (ml) = 0.75 ml

So, the nurse should administer 0.75 ml of haloperidol decanoate for the dose of 75 mg.

A. Remain with the client. B. Give to client a PRN sleeping medication, C. Encourage the client to go back to bed. D. Explore alternatives to pacing the floor with the client.

Correct Answer is A

Explanation

Remaining with the client provides support and ensures their safety. The client's behavior indicates distress, and having a nurse nearby can help the client feel more comfortable and secure.

B. Give the client a PRN sleeping medication:

Explanation: Administering a sleeping medication should not be the first response, especially if the client is agitated. It's important to address the underlying cause of the agitation and consider other interventions before resorting to medication.

C. Encourage the client to go back to bed:

Explanation: Encouraging the client to go back to bed might not be effective if they are experiencing significant distress or anxiety. It's better to address their emotional state first before suggesting any changes in activity.

D. Explore alternatives to pacing the floor with the client:

Explanation: This is a reasonable course of action. Exploring alternatives to the client's current behavior can help address their distress and find ways to manage their emotions more effectively.

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A nurse in an acute care mental health facility is assessing a client who has bipolar disorder. Which of the following findings indicates the client is at risk for suicide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer haloperidol 75 mg IM per week. Available is haloperidol decanoate 100mg/ml for injection. How many ml should the nurse administer per dose? (Round the answer to the nearest hundredth. Use a leading zero if it applies.

Correct Answer is ["0.75"]

Explanation

A nurse is caring for a client who is having difficulty sleeping and is pacing the floor. The client's head down, and he is wringing his hands. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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