A patient with suicidal impulses is on the highest level of suicide precautions. Which measures should the nurse incorporate into the patient's plan of care? (Select all that apply.)
Allow no glass or metal on meal trays.
Check the patient's whereabouts every 15 minutes and make frequent verbal contact.
Remove all potentially harmful objects from the patient's possession.
Maintain arm's length, one-on-one nursing observation around the clock.
Correct Answer : A,B,C
A. This precaution helps eliminate potential means for self-harm.
B. Regular checks and verbal contact are essential to monitor the patient's safety and provide support.
C. Removing objects that could be used for self-harm is a key part of suicide precautions.
D. While this is an intensive level of observation, it might not be feasible at all times due to staffing limitations, making this choice less practical than the others.
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Related Questions
Correct Answer is C
Explanation
A. Verbally reporting to the psychiatrist might be appropriate but doesn’t directly address ensuring the safety of the potential victim.
B. Waiting for a court order might delay necessary action and put the potential victim at risk.
C. Ensuring the potential victim is warned is a crucial step to protect them from potential harm.
D. While confidentiality is important, the duty to protect potential victims supersedes confidentiality in cases of potential harm or danger.
Correct Answer is ["A","B","D"]
Explanation
A. Dissociative disorders can coexist with personality disorders, as both involve disruptions in self-identity and behavior.
B. Individuals with dissociative disorders may use substances to cope with symptoms or distress.
C. While dissociative disorders and eating disorders share some symptoms, they are not commonly identified as comorbid conditions.
D. It is common for dissociative disorders to co-occur with depressive disorders due to shared symptoms and overlapping psychological factors.
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