A nurse is preparing for a home visit with a client whose partner recently died by suicide. Which of the following actions should the nurse take first when preparing to provide client-centered care?

Review the client's history.

Read the client's progress notes.

Review current provider prescript

Perform self-reflection.

Answer and Explanation

The Correct Answer is D

Rationale:

A. Reviewing the client's history and reading progress notes are important for understanding the client's situation but are secondary to ensuring the nurse's readiness.

B. Reviewing current provider prescriptions is relevant but does not address the immediate need for self-preparation.

C. Performing self-reflection is essential to ensure that the nurse is emotionally prepared and empathetic, which is crucial when dealing with clients experiencing significant grief.

D. Performing self-reflection is the most critical first step as it ensures the nurse is emotionally prepared and able to provide empathetic and non-judgmental support to the client during a difficult time.

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Correct Answer is B

Explanation

Rationale:

A. Adverse effects of treatment might impact overall health but are not direct risk factors for developing mental illness.

B. Immune system dysfunction can contribute to the development of mental health disorders. Research shows that immune system abnormalities and chronic inflammation are linked to mental health conditions.

C. Exposure to environmental allergies does not have a direct link to the development of mental illness, though it can affect overall well-being.

D. Medication adherence affects treatment outcomes but is not a contributing factor to the development of mental health disorders.

A. "A suicide attempt is the manner in which someone kills themselves. Self-harm is just the person acting out." B. "A suicide attempt is when a person harms themselves with the intent to die but does not. Self-harm is when a client intentionally inflicts harm on themselves but does not have intention to kill themselves." C. "When a client attempts suicide, they do so in a manner by causing self-harm." D. "The two terms are the same and can be used interchangeably."

Correct Answer is B

Explanation

Rationale:

A. This response incorrectly defines suicide attempts and self-harm and oversimplifies the concept of self-harm.

B. A suicide attempt involves self-harm with the intent to die, whereas self-harm (or self-injury) involves harming oneself without the intention of death. This response accurately differentiates between the two.

C. Suicide attempts can involve self-harm, but not all self-harm is intended as a suicide attempt. This response conflates the terms.

D. The terms are not interchangeable; understanding their differences is crucial for accurate assessment and intervention.

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A nurse is preparing for a home visit with a client whose partner recently died by suicide. Which of the following actions should the nurse take first when preparing to provide client-centered care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is collecting the health history of a client and determines that the client has risk factors for developing mental illness. Which of the following should the nurse identify as a possible contributing factor in the development of a mental health disorder?

Correct Answer is B

Explanation

A newly licensed nurse asks a charge nurse, "What is the difference between a suicide attempt and self-harm?" Which of the following responses should the charge nurse give?

Correct Answer is B

Explanation

A nurse is discussing borderline personality disorder and the risk for self-harm with a newly licensed nurse. Which of the following situations should the nurse identify as the highest risk for self-harm?

A staff nurse reports an observation of a coworker injecting themselves with a syringe in the bathroom. The coworker admits to stealing narcotics from the medication room. The staff nurse should take which of the following courses of action?

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A nurse is providing care for a client who has recently returned from active combat and experienced the loss of a close friend during combat. Which of the following client statements indicates that the client is experiencing traumatic grief?

A nurse is caring for a client who has borderline personality disorder. Which of the following defense mechanisms is commonly used by clients who have this disorder and has the potential to create division amongst the healthcare team?

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