A nurse is caring for a client who has a history of suicide attempts. Which of the following findings places the client at risk for another suicide attempt? (Select all that apply.)

Hallucinations

Depression

Delusions

Catatonia

Tinnitus

Answer and Explanation

Correct Answer : A,B,C,D

Choice A reason:

Hallucinations, particularly if they are distressing or command hallucinations, can increase the risk of suicide attempts.

Choice B reason:

Depression is a major risk factor for suicide. Clients with a history of depression are at higher risk for attempting suicide again.

Choice C reason:

Delusions, especially those that are paranoid or persecutory, can contribute to suicidal thoughts and behaviors.

Choice D reason:

Catatonia, a state of psychomotor disturbance, can be associated with severe depression and increase the risk of suicide.

Choice E reason:

Tinnitus, while distressing, is not typically a direct risk factor for suicide attempts. It may contribute to overall distress but is not a primary indicator of suicide risk.

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Correct Answer is ["A","B","D"]

Explanation

Choice A reason:

Grandiosity is a common symptom of a manic episode. Clients may have an inflated sense of self-importance and believe they have special abilities or powers.

Choice B reason:

Flight of ideas is characterized by rapid and continuous speech with frequent changes in topic. This is a typical behavior during a manic episode.

Choice C reason:

Splitting, which involves viewing people or situations as all good or all bad, is more commonly associated with borderline personality disorder rather than bipolar disorder.

Choice D reason:

Hyperactivity is a hallmark of mania. Clients may exhibit increased energy levels, restlessness, and engage in excessive activities.

Choice E reason:

Withdrawal is not typically associated with manic episodes. It is more commonly seen in depressive episodes or other mental health conditions.

A. Use detailed explanations when providing education to the client. B. Maintain a stimulating environment for the client. C. Provide the client with a structured schedule of daily activities. D. Limit time for rituals to 30 minutes each day.

Correct Answer is C

Explanation

Choice A reason:

While detailed explanations can be helpful, they are not the primary intervention for managing OCD. The focus should be on structured activities and behavioral interventions.

Choice B reason:

Maintaining a stimulating environment is not appropriate for clients with OCD as it may increase anxiety and compulsive behaviors. A calm and structured environment is more beneficial.

Choice C reason:

Providing a structured schedule of daily activities helps clients with OCD manage their time and reduce the frequency of compulsive behaviors. It promotes routine and predictability, which can alleviate anxiety.

Choice D reason:

Limiting time for rituals to 30 minutes each day is not a practical intervention. Instead, the focus should be on gradually reducing the time spent on rituals through behavioral therapy techniques.

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A nurse is caring for a client who has a history of suicide attempts. Which of the following findings places the client at risk for another suicide attempt? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting an admission assessment for a client who is experiencing a manic episode of bipolar disorder. Which of the following behaviors should the nurse expect? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

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Correct Answer is C

Explanation

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