A teenager is noted to have a heightened awareness of reality, feelings of depersonalization, unpredictable and sometimes violent behavior, and flashbacks. The nurse suspects that the teenager is taking which of the following chemicals?

A. "What will you accomplish by taking your life?" This question is not therapeutic and may be perceived as judgmental or dismissive.
B. "What happened to you in the past to make you so desperate?" This question focuses on past events and may not address the immediate crisis.
C. "Why do you feel depressed enough to end your life?" This question is less direct and may not elicit a specific plan, which is crucial for assessing risk.
D. "How will you carry out your plan?" This question is direct and helps to determine if the client has a specific plan, which is a key factor in assessing the immediacy and severity of the suicide risk.

A. Direct self-destructive behavior: Direct self-destructive behavior refers to actions taken with the intent to cause immediate harm or death, such as slashing one's wrists.
B. Indirect self-destructive behavior: Indirect self-destructive behavior refers to actions that can harm oneself over time, such as substance abuse or reckless driving, without the immediate intention to die.
C. Parasuicidal behavior: Parasuicidal behavior involves actions that are intended to cause self-harm but not necessarily result in death, often seen as a cry for help.
D. Maladaptive self-destructive behavior: Maladaptive self-destructive behavior is a broader term that can include a variety of harmful actions, not necessarily with the intention of suicide.