A nurse on a mental health unit is admitting a client following a suicide attempt. Which of the following actions is the nurse's priority?

Establish a therapeutic relationship with the client.

Instruct the client on stress management techniques.

Have the client sign a no-suicide contract.

Maintain constant observation of the client.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Establishing a therapeutic relationship is important, but the immediate priority is to ensure the safety of the client by maintaining constant observation.

Choice B rationale:

Instructing the client on stress management techniques is important, but safety comes first.

Choice C rationale:

Having the client sign a no-suicide contract may provide some reassurance, but it is not a substitute for constant observation.

Choice D rationale:

Maintaining constant observation of the client is the priority to prevent any further self-harm or suicide attempts.

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Correct Answer is D

Explanation

Choice A rationale:

An adventitious crisis is a crisis resulting from an external event such as a natural disaster or crime.

Choice B rationale:

Psychopathologic crises involve individuals with preexisting mental health conditions experiencing acute exacerbations.

Choice C rationale:

A psychiatric emergency involves a sudden onset of severe behavioral symptoms that require immediate intervention.

Choice D rationale:

A situational crisis arises from an unexpected life event, such as injury, illness, or loss of independence, which can disrupt a person's normal routine and coping mechanisms.

A. A 64-year-old client who is taking estrogen supplements B. A 70-year-old client who has COPD C. A 28-year-old client who has a left arm fracture D. A 53-year-old client who has a thin build

Correct Answer is C

Explanation

Choice A rationale:

A 64-year-old client taking estrogen supplements does not necessarily indicate a greater risk for infection compared to the other options.

Choice B rationale:

A 70-year-old client with COPD does not necessarily indicate a greater risk for infection compared to the other options.

Choice C rationale:

A 28-year-old client with a left arm fracture is at greater risk for infection due to the open wound and potential introduction of pathogens.

Choice D rationale:

A 53-year-old client with a thin build does not necessarily indicate a greater risk for infection compared to the other options.

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A nurse on a mental health unit is admitting a client following a suicide attempt. Which of the following actions is the nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a fractured hip following a fall. The client is very upset about her planned discharge to a rehabilitation facility because she has always lived independently. The nurse should identify that the client is experiencing which of the following types of crises?

Correct Answer is D

Explanation

A nurse is reviewing the medical records of a group of clients who are receiving chemotherapy. The nurse should identify that which of the following clients is at greatest risk for infection?

Correct Answer is C

Explanation

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