A nurse is assisting with planning of care for a client following a suicide attempt. Which of the following interventions is an appropriate suicide precaution?
Inspect the client's personal belongings.
Assign the client to a private room.
Tuck bedcovers over client's hands and arms.
Remove utensils from the client's meal trays.
The Correct Answer is A
A. Inspect the client's personal belongings. Inspecting the client's personal belongings helps to ensure that the client does not have access to items that could be used for self-harm, such as sharp objects or medications.
B. Assign the client to a private room. Assigning a client who has attempted suicide to a private room can increase isolation and the risk of self-harm, as they are not easily observed.
C. Tuck bedcovers over client's hands and arms. This intervention is not effective and could potentially restrict the client's movement, increasing feelings of distress.
D. Remove utensils from the client's meal trays. Removing utensils, especially sharp ones, from meal trays helps to prevent the client from using them to harm themselves.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Disulfiram will prevent my cravings for alcohol." Disulfiram (Antabuse) is a medication that causes a severe adverse reaction when alcohol is consumed, acting as a deterrent. It does not prevent cravings for alcohol.
B. “One should expect hand tremors to start less than 24 hours after I stop drinking." Hand tremors are one of the early signs of alcohol withdrawal and typically begin within 6 to 12 hours after the last drink.
C. "Withdrawal symptoms should last about 5 to 7 days once they begin." Alcohol withdrawal symptoms usually peak within 24 to 48 hours and can last up to 72 hours, though some symptoms may persist longer in severe cases.
D. "It is important that I take Vitamin C to prevent liver cirrhosis or other liver damage." While vitamin supplementation is important for overall health, taking Vitamin C does not specifically prevent liver cirrhosis or other liver damage.
Correct Answer is D
Explanation
A. Deceitfulness: Deceitfulness is more associated with antisocial personality disorder rather than impulse control disorders.
B. Aggressive conduct: Aggressive conduct is associated with conduct disorder, not specifically with impulse control disorders.
C. Serious rule violations: Serious rule violations are characteristic of conduct disorder.
D. Pyromania: Pyromania is an impulse control disorder characterized by the recurrent urge to set fires.
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