A nurse on a mental health unit is planning care for a client who has a new diagnosis of non- suicidal self-harm (NSSH). Which of the following interventions should the nurse include in the plan?

Explain to the client that self-harm behaviors do not increase their risk for accidental death.

Inform the client that self-harm behavior cannot become a serious problem in the future.

Encourage the client to identify the emotions they feel immediately before performing the self- harm behavior.

Place the client in one-on-one direct observation due to overt suicidal intent.

Answer and Explanation

The Correct Answer is C

C Encouraging the client to identify the emotions they feel immediately before performing the self-harm behavior is an important intervention. It can help the client develop insight into triggers and underlying emotions that contribute to the behavior. Identifying and addressing these emotions can be a crucial step in developing healthier coping mechanisms.

A. It is crucial to convey the potential risks associated with self-harm and emphasize the importance of seeking help and safer coping strategies.

B. Non-suicidal self-harm is a significant concern that requires attention and appropriate intervention. While NSSH does not necessarily indicate immediate suicidal intent, it can indicate significant distress

D. NSSH does not necessarily indicate suicidal intent, and placing the client in constant observation without clinical justification may be intrusive and undermine therapeutic rapport.

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Correct Answer is B

Explanation

B Primary prevention aims to prevent the onset of a disease or health condition before it occurs. In the context of sexually transmitted infections (STIs), providing education and information about safe sex practices, condom use, and strategies for preventing STIs constitutes primary prevention efforts.

A. Secondary prevention involves early detection and intervention to prevent the progression of a disease or health condition. Examples include screening for STIs and providing prompt treatment to individuals who test positive.

C. Tertiary prevention focuses on managing and reducing the impact of existing disease or health conditions and preventing complications or disability. In the context of STIs, tertiary prevention efforts may include providing ongoing medical care, support, and education to individuals living with STIs

D. Quaternary prevention aims to mitigate or avoid the consequences of unnecessary or excessive healthcare interventions and to protect individuals from overmedicalization. It focuses on promoting prudent and ethical healthcare practices.

A. A. history of self-injurious behavior B. History of trauma during the developmental years C. Borderline personality disorder D. A history of schizophrenia

Correct Answer is B

Explanation

B. Trauma during the developmental years, especially in early childhood, is considered a significant risk factor for the development of DID. Trauma disrupts normal psychological development and can lead to the fragmentation of identity as a coping mechanism to dissociate from overwhelming or traumatic experiences.

A. A history of self-injurious behavior is often associated with various mental health conditions, such as borderline personality disorder, post-traumatic stress disorder (PTSD), or depression but it is not a primary risk factor for dissociative identity disorder (DID).

C. Individuals with BPD may experience dissociative symptoms, particularly during times of stress or intense emotional arousal but BPD itself is not considered a primary risk factor for dissociative identity disorder (DID).

D. Individuals with schizophrenia may experience dissociative symptoms, such as depersonalization or derealization but these symptoms are typically secondary to psychotic experiences rather than being indicative of dissociative identity disorder (DID).

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A nurse on a mental health unit is planning care for a client who has a new diagnosis of non- suicidal self-harm (NSSH). Which of the following interventions should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is presenting information about the prevention of sexually transmitted infections to a group of high school students. The nurse should identify that this is an example of which of the following types of prevention?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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