After establishing a no-harm contract with the client, the nurse should:
continue to maintain close observation.
begin treatment with antidepressants.
begin to assess client risk factors.
decrease observation activity to allow client autonomy.
The Correct Answer is A
A. A no-harm contract is a useful tool. However, it's essential to remember that it's not a guarantee against self-harm. Close observation remains crucial, as suicidal ideation can fluctuate.
B. Antidepressants can be part of the treatment plan but they are not an immediate solution and require careful monitoring. The priority is ensuring the client's safety.
C. This assessment should have already been conducted before establishing the no-harm contract. Ongoing assessment is important, but immediate observation takes precedence.
D. Reducing observation could put the client at risk. Continuous monitoring is necessary to prevent self- harm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. 0.5-1.0 mEq/L is the correct range for the therapeutic levels of lithium. This range is effective for stabilizing mood in conditions like bipolar disorder while minimizing the risk of toxicity. Monitoring within this range helps ensure that the medication is both effective and safe for the patient.
Correct Answer is B
Explanation
A. While social factors can influence depression, they don't primarily focus on learning as the root cause.
B. Behavioral theories suggest that depression is learned through conditioning and reinforcement. This includes concepts like learned helplessness and operant conditioning.
C. These theories focus on physiological factors like neurotransmitters and genetics as the primary causes of depression.
D. These theories emphasize unconscious conflicts and early childhood experiences as the basis for depression.
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