A nurse is making a home visit for a 16-year old adolescent who attempted suicide. Which of the following behaviors should alert the nurse that the adolescent still has suicidal intent?
Stating that he wants to be with his peers more than with his parents.
Telling his parents that he doesn't want to talk about the suicide attempt.
Preferring to eat his meals while watching TV.
Planning to give his CD collection to his girlfriend.
The Correct Answer is D
A-Wanting to spend time with peers is not inherently indicative of continued suicidal intent. Adolescents often seek social connections, and while this behavior should be monitored, it is not a specific indicator of ongoing suicidal ideation.
B-While reluctance to discuss the event can be a concern, it doesn't automatically translate to continued suicidal thoughts.
C-Preferring to eat meals while watching TV is a relatively common behavior and does not directly correlate with suicidal intent. While changes in behavior should be noted, this alone is not a strong indicator of continued risk.
D-Giving away prized possessions, especially to loved ones, can sometimes be a sign of hopelessness or finality associated with suicidal ideation. It suggests the adolescent may be putting their affairs in order.
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Related Questions
Correct Answer is C
Explanation
A.While it is important to understand changes in behavior, the sudden shift from depression to a cheerful state could be indicative of a potential risk, such as a plan to self-harm, particularly if the client is showing improved mood quickly.
B.It is not appropriate to reward a change in behavior without understanding the underlying reasons for the change. The sudden improvement in mood could be a sign of a potential risk, such as suicidal ideation or a temporary lift in mood before a possible crisis.
C.This is a crucial intervention. A sudden change in mood can sometimes be associated with an increased risk of self-harm or suicidal ideation, particularly if the client’s mood improves significantly before a more stable improvement in their depressive symptoms. Continuous monitoring helps ensure the client’s safety.
D.This could be premature and potentially unsafe, given the sudden and significant change in the client's condition. It is more important to ensure that the client’s mood change is not indicative of an underlying risk before allowing unsupervised activities.
Correct Answer is ["2.2"]
Explanation
The correct answer is choice 2. 2 capsules. The nurse should administer 2 capsules of lithium carbonate 150 mg each to achieve the prescribed dose of 300 mg. Since each capsule contains 150 mg, two capsules will provide the required 300 mg dose. Rounding to the nearest whole number, the nurse should administer 2 capsules.
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