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 D
Explanation
A. This alone might not be a sufficient reason for involuntary commitment. The key factor for extended hospitalization is a threat to safety.
B. Moving out of the state might not justify extended hospitalization if there's no indication of imminent danger.
C. Personal dislike, without posing an immediate danger, might not be sufficient for extended hospitalization.
D. If the client continues to pose a risk of harm to herself or others, involuntary hospitalization beyond the initial hold might be warranted.
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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