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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Increased body temperature: Alcohol consumption typically causes vasodilation, which can lead to a decrease in body temperature, not an increase.
B. Cardiac dysrhythmias: Large amounts of alcohol can affect the heart's electrical system, leading to cardiac dysrhythmias.
C. Hypotension: Alcohol is a vasodilator, which can lead to a drop in blood pressure (hypotension).
D. Bradycardia: Alcohol typically causes tachycardia (increased heart rate), not bradycardia (decreased heart rate).
Correct Answer is A
Explanation
A. Pyromania: Pyromania is an impulse control disorder characterized by the recurrent urge to set fires.
B. Deceitfulness: Deceitfulness is more associated with antisocial personality disorder rather than impulse control disorders.
C. Aggressive conduct: Aggressive conduct is associated with conduct disorder, not specifically with impulse control disorders.
D. Serious rule violations: Serious rule violations are characteristic of conduct disorder.
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