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.

Answer and Explanation

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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Correct Answer is B

Explanation

A. Both somatic symptom disorders and dissociative disorders involve psychological distress but are not necessarily under voluntary control.
B. Somatic symptom disorders involve physical symptoms that are a manifestation of psychological distress, while dissociative disorders involve disruptions in memory, identity, perception, and consciousness as a response to stress.
C. Dissociative disorders often occur as a response to ongoing or unresolved stress rather than resolved stress.
D. While both types of disorders can occur across cultures, they are not strictly bound by cultural factors.

A. "I am glad you are feeling better. The team will consider your request." B. "Because we are concerned about your safety, we will continue with our plan." C. "I wonder what this sudden change is all about. Please tell me more." D. "You should not try to direct your care. Leave that to the treatment team."

Correct Answer is B

Explanation

A. While acknowledging the patient's feelings is important, ensuring safety is the priority, and the response should emphasize the ongoing concern for safety.
B. Prioritizing patient safety and care is crucial, especially in situations involving suicidal risks.
C. Encouraging the patient to elaborate further is essential; however, the priority is to maintain the safety precautions.
D. Directing the patient to not participate in their care isn't supportive or therapeutic, especially when safety is a concern.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the primary difference between somatic system disorders and dissociative disorders?

Correct Answer is B

Explanation

A severely depressed patient who has been on suicide precautions tells the nurse, "I am feeling a lot better, so you can stop watching me. I have taken too much of your time already." Which is the nurse's best response?

Correct Answer is B

Explanation

A nurse is caring for a client following a suicide attempt. The client has a history ofdepression, substance abuse, and anorexia nervosa. Which of the following actions is the nurse's priority?

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