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. Moderate level would suggest a plan that has some risk but may be less imminent or less likely to result in death.
B. A plan involving a loaded gun aimed at a vital organ like the heart, coupled with alcohol consumption and intent, indicates a high level of lethality.
C. This scenario presents a significant risk given the method and the caller's intent, so "No risk" would not be appropriate.
D. Low level would suggest a plan that is less likely to cause severe harm or death, which is not the case here.

A. "I should verbally report this information to the psychiatrist." B. "I can only discuss the client's threats with a court order." C. "I need to make sure that the potential victim is warned." D. "I need to keep the information confidential due to the client's right to privacy."

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.

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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

Correct Answer is B

Explanation

A nurse is teaching a newly licensed nurse about appropriate actions to take when a client threatens to harm a specific individual. Which of the following statements by the newly licensed nurse indicates understanding?

Correct Answer is C

Explanation

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?

A charge nurse is conducting a staff education in-service about depressive disorders. Which of the following should the nurse identify as a risk factor for depression?

After failing two tests, a college student cried for hours and then tried to telephone a parent but got no answer. The student then gave several expensive sweaters to a roommate. Which behavior provides the strongest clue of an impending suicide attempt?

A nurse interacts with a newly hospitalized patient. Which nursing statement reflects the communication technique of "offering self"?

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?

Which experiences are most likely to precipitate posttraumatic stress disorder (PTSD)? (Select all that apply.)

When considering an individual's risk for suicide, which client will the nurse consider the priority?