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?

"I am glad you are feeling better. The team will consider your request."

"Because we are concerned about your safety, we will continue with our plan."

"I wonder what this sudden change is all about. Please tell me more."

"You should not try to direct your care. Leave that to the treatment team."

Answer and Explanation

The Correct Answer is B

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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Correct Answer is B

Explanation

A. This is more aligned with the evaluation phase of the nursing process, ensuring that interventions are achieving the intended results.
B. During implementation, nurses execute the care plan, carry out interventions, and coordinate care with other healthcare team members to meet the patient's needs.
C. This is primarily part of the assessment phase, ensuring a thorough understanding of the patient's situation.
D. This involves collaborative goal-setting and is more aligned with the planning phase, ensuring that patient goals are agreed upon and relevant.

A. Suicide is an impulsive act. B. As depression lifts, physical energy becomes available to carry out suicide. C. Suicide may be precipitated by a variety of internal and external events. D. Suicidal patients have difficulty using social supports.

Correct Answer is B

Explanation

A. While impulsive actions can contribute to suicide, it doesn't specifically relate to monitoring during antidepressant therapy.
B. Monitoring is crucial because as depressive symptoms improve, the energy levels may increase before mood stabilizes, potentially increasing the risk of acting on suicidal thoughts.
C. While true, this statement doesn't specifically address the need for monitoring during antidepressant therapy.
D. This statement highlights a potential issue for suicidal patients but doesn't directly relate to the need for monitoring during antidepressant therapy.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Nursing behaviors associated with the implementation phase of the nursing process are concerned with the responsibilities of the psychiatric mental health nurse?

Correct Answer is B

Explanation

Which statement provides the best rationale for why a nurse should closely monitor a severely depressed patient during antidepressant medication therapy?

Correct Answer is B

Explanation

A nurse is caring for a client who was admitted for suspected abuse. The client is quiet and withdrawn. Which of the following actions should the nurse take to promote client communication?

A patient diagnosed with major depressive disorder begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy. Priority information given to the patient and family should include a directive to do what?

When assessing for the subjective symptoms of posttraumatic stress disorder (PTSD), which question will the nurse ask a client hospitalized for severe anxiety related to a sexual assault by a family member as a teenager?

A nurse is providing teaching for a client who has a recent diagnosis of depression. Which of the following should the nurse identify as a primary risk factor for this disorder?

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

A nurse is planning a unit orientation for a newly admitted client who has severe depression. Which of the following should be the nurse's approach?