A patient with a history of suicidal ideation is under observation. When is the patient at the highest risk for self-harm?

During the first few days after admission.

On the anniversary of significant life events in the patient’s life.

Approximately 2 weeks after starting antidepressant medication.

Immediately after a family visit.

Answer and Explanation

The Correct Answer is C

Choice A rationale
While the initial days after admission can be stressful and potentially risky for a patient with suicidal ideation, they are not typically considered the highest risk period.
Choice B rationale
Anniversaries of significant life events can indeed trigger emotional distress and potentially increase suicide risk. However, these are specific time points and not a continuous period of heightened risk.
Choice C rationale
The highest risk for self-harm in a patient with a history of suicidal ideation is often approximately 2 weeks after starting antidepressant medication. This is because as their mood begins to lift, they may still have suicidal thoughts but now have the energy to act on them.
Choice D rationale
While family visits can be emotionally charged and potentially distressing, they do not typically represent the highest risk period for self-harm.

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Correct Answer is C

Explanation

Choice A rationale
While fostering a social relationship can be a part of therapeutic communication, it is not the primary goal. The main focus is on the client’s needs and concerns.
Choice B rationale
Focusing on the attitude of the client is not the primary goal of therapeutic communication. The main goal is to understand the client’s experiences and feelings.
Choice C rationale
The primary goals of therapeutic communication are to focus on the client and to build a rapport. This involves understanding the client’s needs, concerns, and emotions effectively.
Choice D rationale
Focusing on the staff member and building rapport is not the primary goal of therapeutic communication. The main focus should be on the client.

A. Frightening. B. Calming. C. Depressive. D. Stimulating.

Correct Answer is D

Explanation

Bright colors in a psychiatric unit environment are often perceived as stimulating. They can enhance alertness and motivation in patients.

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A patient with a history of suicidal ideation is under observation. When is the patient at the highest risk for self-harm?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What are the goals of therapeutic communication?

Correct Answer is C

Explanation

In a psychiatric unit, how are bright colors in the client’s environment often perceived?

Correct Answer is D

Explanation

The home health aide reports to the practical nurse that the client has been trying to give away possessions. When the nurse asks the client about this behavior, the client says, “With my spouse dead, there’s no reason for me to go on.”. What is the best priority response by the nurse?

True or False: The management of delirium is dependent on its cause, with the primary focus being to address the root cause.

A score of 1 to 10 on the Global Assessment Functioning (GAF) scale would indicate that a client was at risk for:

The patient is experiencing loss of multiple abilities such as short- and long-term memory, language, and the ability to understand. What condition does the patient have?

An adult patient assaulted another patient and was subsequently restrained. One hour later, which statement by the restrained patient requires the nurse’s immediate attention?

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