A nurse on an inpatient mental health unit is reinforcing teaching to a newly licensed nurse about suicide prevention. Which of the following statements made by the newly licensed nurse indicates an understanding of the information?

"The blinds in the client's room will need to stay closed to prevent overstimulation."

"Family members should be encouraged to look up the warning signs of suicide."

"The client can eat their meal alone in their room."

"All sharp objects should be removed from the client's room."

Answer and Explanation

The Correct Answer is D

A. The blinds in the client's room will need to stay closed to prevent overstimulation. Keeping the blinds closed is not a standard suicide prevention measure. While reducing overstimulation may be helpful for some mental health conditions, suicide prevention focuses more on removing means of self-harm, increasing supervision, and providing therapeutic interventions.
B. Family members should be encouraged to look up the warning signs of suicide. While educating family members about suicide warning signs is beneficial, simply encouraging them to look up the information is insufficient. The nurse should provide direct education and resources to ensure they recognize signs of suicidal ideation and know how to respond appropriately.
C. The client can eat their meal alone in their room. Allowing a suicidal client to eat alone increases the risk of self-harm, as food-related items (such as utensils, plastic bags, or containers) could be misused. Clients at risk for suicide should be supervised during meals to ensure their safety.
D. All sharp objects should be removed from the client's room. Removing sharp objects is a critical component of suicide prevention in inpatient settings. Limiting access to potential means of self-harm, including sharp items, cords, belts, and other dangerous objects, helps reduce the risk of suicide attempts.

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Correct Answer is C

Explanation

A. Borderline personality disorder. Borderline personality disorder falls under Cluster B, which includes dramatic, emotional, and erratic disorders. Individuals with this disorder often exhibit impulsivity, intense emotional instability, fear of abandonment, and unstable relationships.
B. Antisocial personality disorder. Antisocial personality disorder is part of Cluster B and is characterized by a disregard for social norms, lack of empathy, and manipulative or deceitful behavior. Individuals with this disorder often engage in impulsive and irresponsible actions.
C. Dependent personality disorder. Dependent personality disorder belongs to Cluster C, which includes anxious and fearful disorders. Individuals with this disorder exhibit excessive reliance on others, difficulty making decisions, and an intense fear of abandonment, leading to submissive and clingy behavior.
D. Paranoid personality disorder. Paranoid personality disorder is categorized under Cluster A, which consists of odd and eccentric personality disorders. It is characterized by pervasive distrust, suspicion of others, and a tendency to interpret others' actions as malicious.

A. To keep the client's environment calm and with minimal daily stimuli B. To be reoriented to their current environment as needed C. To ensure the client participates in a walk with staff on a daily basis D. To develop and acknowledge understanding of a relapse plan prior to discharge

Correct Answer is D

Explanation

A. To keep the client's environment calm and with minimal daily stimuli: While a calm environment can help manage acute psychotic symptoms, it is a short-term intervention rather than a long-term goal. Long-term management focuses on adherence to treatment and relapse prevention.
B. To be reoriented to their current environment as needed: Reorientation is beneficial for clients experiencing disorientation due to acute psychosis, but it is a short-term intervention. A long-term goal should focus on maintaining stability and preventing future relapse.
C. To ensure the client participates in a walk with staff on a daily basis: Regular physical activity can improve mental health, but it does not directly address medication adherence or long-term relapse prevention. The goal should focus on strategies to maintain treatment compliance.
D. To develop and acknowledge understanding of a relapse plan prior to discharge: A relapse plan helps the client recognize early warning signs, understand medication importance, and seek support when needed, which is essential for long-term symptom management and prevention of future hospitalizations.

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A nurse on an inpatient mental health unit is reinforcing teaching to a newly licensed nurse about suicide prevention. Which of the following statements made by the newly licensed nurse indicates an understanding of the information?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing the three clusters of personality disorders. Which of the following personality disorders is part of cluster C?

Correct Answer is C

Explanation

A nurse is caring for a client who was recently re-admitted for relapse of psychosis symptoms due to not taking their medications. Which of the follow should be a long-term goal for this client?

Correct Answer is D

Explanation

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