A nurse is caring for a client 3 days after admission for treatment of depression. The client leaves her current activity, approaches the nurse and states, "There's no reason to go on living. I just want to end it all." Which of the following actions should the nurse take?
Recognize the attempt at manipulation and escort the client back to her activity.
Notify the client's family and request a visitor to stay with the client until thoughts of suicide are gone.
Ask the client if she has a plan to commit suicide.
Assist the client to her room and allow her to rest before resuming activity.
The Correct Answer is C
A. Dismissing the client's statement as manipulation without proper assessment can be dangerous.
B. While involving family support is important, this response doesn’t address the immediate safety concerns of the client.
C. Asking about suicidal plans helps assess the level of risk and informs subsequent actions to ensure the client's safety.
D. The situation requires more immediate assessment and action due to the expressed suicidal ideation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Both somatic symptom disorders and dissociative disorders involve psychological distress but are not necessarily under voluntary control.
B. Somatic symptom disorders involve physical symptoms that are a manifestation of psychological distress, while dissociative disorders involve disruptions in memory, identity, perception, and consciousness as a response to stress.
C. Dissociative disorders often occur as a response to ongoing or unresolved stress rather than resolved stress.
D. While both types of disorders can occur across cultures, they are not strictly bound by cultural factors.
Correct Answer is B
Explanation
A. Being married might have protective factors against depression for some individuals due to social support; however, it's not universally a risk factor.
B. Chronic illness, due to its impact on quality of life, pain, and coping mechanisms, is a well-known risk factor for developing depression.
C. While depression can affect anyone regardless of gender, it's not accurate to label male gender as a risk factor in itself.
D. Pregnancy can be associated with perinatal mood disorders like postpartum depression, but it's not a universal risk factor for depression in all cases.
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