A nurse is caring for a client who is experiencing suicidal thoughts.

Which of the following actions should the nurse take?.

Place the client on 12-hour observation.

Remove harmful objects from the client's room.

Encourage visitors for the client at any time.

Encourage visitors to bring items to the client.

Answer and Explanation

The Correct Answer is B

Choice A rationale:
Placing the client on 12-hour observation may not be sufficient as suicidal thoughts can persist beyond this timeframe.
Choice B rationale:
Removing harmful objects from the client’s room is a crucial step in ensuring the safety of a client experiencing suicidal thoughts. This action helps to minimize the risk of self-harm.
Choice C rationale:
While social support can be beneficial, it’s important to regulate visitors as they could unintentionally bring harmful objects or substances.
Choice D rationale:
Encouraging visitors to bring items could pose a risk as they might unknowingly bring in objects that could be used for self-harm.

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Correct Answer is C

Explanation

Choice A rationale:

While bulimia nervosa can be associated with self-harm behaviors, it is not as strongly linked as borderline personality disorder.

Choice B rationale:

Having a parent with dependent personality disorder is not a specific risk factor for self-harm behaviors.

Choice C rationale:

Borderline personality disorder is strongly associated with self-harm behaviors.

Choice D rationale:

Receiving a promotion at work is generally considered a positive event and is not typically associated with an increased risk of self-harm behaviors.

A. Vitamin K. B. Sodium. C. Potassium. D. Vitamin C.

Correct Answer is B

Explanation

Choice A rationale:
Vitamin K is not specifically related to the management of bipolar disorder or the use of lithium.
Choice B rationale:
Clients under lithium therapy don’t need to limit their sodium intake. It is recommended to keep salt intake the same as before prescription of the lithium medication.
Choice C rationale:
While potassium is an important dietary element, it is not specifically related to the management of bipolar disorder or the use of lithium.
Choice D rationale:
Vitamin C is not specifically related to the management of bipolar disorder or the use of lithium.

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A nurse is caring for a client who is experiencing suicidal thoughts. Which of the following actions should the nurse take?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A nurse is caring for a client who is experiencing suicidal thoughts.

Which of the following actions should the nurse take?.