A nurse must be alert when a client is giving away possessions, getting his/her life in order, or making vague goodbyes to people. Which of the following should the nurse be concerned about?
Depressive State
Suicidal intent
A plan to relocate
Elopement with partner
The Correct Answer is B
A. A depressive state may involve feelings of hopelessness, but giving away possessions and saying goodbyes are signs of potential suicidal intent.
B. Suicidal intent is the primary concern in this situation. These behaviors are commonly seen when a client is preparing to end their life.
C. A plan to relocate would not typically involve giving away possessions or saying goodbyes in such a manner.
D. Elopement with a partner is not a typical behavior associated with suicidal intent.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Medication compliance is important but does not address the most immediate concerns for individuals with borderline personality disorder, such as self-harm.
B. Awareness of the potential for self-harm is the priority because individuals with borderline personality disorder often engage in self-destructive behaviors.
C. Resources for group therapy in the community are valuable but secondary to ensuring immediate safety.
D. Insurance coverage is important but not urgent compared to the immediate need for safety and awareness of self-harm risks.
Correct Answer is B
Explanation
A. Schizoid personality disorder involves detachment from social relationships, not an excessive need for reassurance.
B. Dependent personality disorder is characterized by a pervasive need to be taken care of, resulting in submissive behavior and difficulty making decisions.
C. Avoidant personality disorder involves social inhibition and fear of criticism, not the need for constant reassurance.
D. Antisocial personality disorder involves disregard for the rights of others, rather than a need for constant reassurance.
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