A nurse is assisting with the development of a community health education class about suicide prevention. Which of the following information should th nurse identify as risk factors for suicide? (Select all that apply.)
Schizophrenia
Currently married
Substance use disorder
Age greater than 45 years old
Female gender
Correct Answer : A,C,D
A.    Mental health disorders, including schizophrenia, are significant risk factors for suicide.
B.    Marital status is not a significant predictor of suicide risk.
C.    Substance abuse is strongly linked to increased suicide risk. 
D.    While suicide rates are highest among older adults, it's important to note that suicide affects people of all ages.
E.    While women are more likely to attempt suicide, men are more likely to complete suicide.
 
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Depression is characterized by persistent feelings of sadness, loss of interest or pleasure in activities, changes in sleep and appetite, and difficulties with daily functioning. However, depression alone might not fully explain the abrupt change if there were no prior context of mood swings or manic behavior.
B. Bipolar disorder is marked by extreme mood swings that include manic or hypomanic episodes and depressive episodes. The observed behaviors—active participation and high energy followed by a
sudden shift to tearfulness and withdrawal—are consistent with the mood cycling seen in bipolar disorder. The manic or hypomanic phase could explain the previous high level of activity, while the depressive phase explains the sudden refusal to engage and withdrawal.
C. Psychotic behavior involves a loss of touch with reality, including hallucinations, delusions, and disorganized thinking. The behaviors described (active participation and then sudden withdrawal) do not specifically indicate psychosis.
D. Dysthymic disorder (now referred to as Persistent Depressive Disorder in the DSM-5) is characterized by a chronic, mild depression lasting for at least two years. It typically involves a more consistent, persistent low mood rather than the abrupt shifts seen in bipolar disorder.
Correct Answer is C
Explanation
A. While this is positive reinforcement, it doesn't directly address the client's expression of gratitude. It's important to acknowledge the client's feelings first.
B. This response avoids the client's expression of gratitude and shifts the focus to the nurse.
C. This response acknowledges the client's expression of gratitude and opens up a dialogue about their feelings about discharge. It allows the nurse to provide support and address any concerns the client might have.
D. This response assumes the client's feelings and doesn't allow for the expression of other emotions. The client might not be excited about discharge for various reasons.
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