A nurse is caring for a client who has just learned that their partner has died by suicide. Which of the following actions should the nurse take first?

Refer the client to a support group for survivors of suicide.

Offer to contact the client's family or support system.

Inform the client that feelings of guilt are often felt by survivors of suicide.

Determine the client's understanding of the suicide events.

Answer and Explanation

The Correct Answer is D

A reason: Refer the client to a support group for survivors of suicide. While referring the client to a support group is important for long-term support, it is not the immediate priority in this acute moment of grief.

B reason: Offer to contact the client's family or support system. Offering to contact family or support systems is supportive but not the first priority. The nurse should first assess the client's immediate emotional and cognitive state.

C reason: Inform the client that feelings of guilt are often felt by survivors of suicide. Providing information about common feelings of guilt can be helpful, but the nurse should first understand the client's current state and their specific needs.

D reason: Determine the client's understanding of the suicide events. The first priority is to assess the client's understanding and emotional response to the news. This helps the nurse provide appropriate support and address any immediate misconceptions or distress.

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Correct Answer is B

Explanation

A reason: A client who is experiencing withdrawal from oxycodone. While withdrawal from oxycodone can cause significant symptoms, it is not typically associated with seizures. Other withdrawal symptoms, such as anxiety and agitation, are more common.

B reason: A client who is experiencing withdrawal from diazepam. Withdrawal from diazepam, a benzodiazepine, can lead to seizures, especially if the drug is stopped abruptly. Seizure precautions are necessary to manage this risk and ensure the client's safety.

C reason: A client who has a low lithium level. A low lithium level typically indicates subtherapeutic dosing rather than an immediate risk of seizures. Monitoring for mood symptoms is more relevant in this context.

D reason: A client who has a low imipramine level. Low levels of imipramine, an antidepressant, do not generally pose a risk for seizures. The focus should be on managing depressive symptoms and adjusting medication as needed.

A. Grandiosity. B. Flight of ideas. C. Splitting. D. Hyperactivity. E. Withdrawal.

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

Explanation

A reason: Grandiosity. Grandiosity is a common behavior in manic episodes, where the individual may have an inflated sense of self-importance, abilities, or identity.

B reason: Flight of ideas. Flight of ideas involves rapidly shifting from one topic to another with little to no logical connection between them. This is a characteristic behavior during a manic episode.

C reason: Splitting. Splitting, or viewing others as all good or all bad, is more commonly associated with borderline personality disorder. It is not a typical behavior during a manic episode of bipolar disorder.

D reason: Hyperactivity. Hyperactivity, including increased energy, restlessness, and engaging in multiple activities simultaneously, is a hallmark of a manic episode.

E reason: Withdrawal. Withdrawal, or social isolation, is more characteristic of depressive episodes rather than manic episodes of bipolar disorder. During mania, individuals are more likely to be excessively social and active.

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A nurse is caring for a client who has just learned that their partner has died by suicide. Which of the following actions should the nurse take first?

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