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?

Staying alone in a dorm room

Excessive crying

Giving away sweaters

Calling parents

Answer and Explanation

The Correct Answer is C

A.   While staying alone can be concerning, it might not be the strongest indicator of an impending suicide attempt in this scenario.
B.   Excessive crying is a potential sign of distress but might not directly point towards an impending suicide attempt.
C.   Giving away prized possessions or making significant gifts is often considered a strong indicator of an impending suicide attempt, indicating a sense of "getting affairs in order."
D.   Attempting to communicate with family might suggest seeking support rather than indicating an impending suicide attempt.

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Correct Answer is C

Explanation

A. Dismissing the client's statement as manipulation without proper assessment can be dangerous.
B. While involving family support is important, this response doesn’t address the immediate safety concerns of the client.
C. Asking about suicidal plans helps assess the level of risk and informs subsequent actions to ensure the client's safety.
D. The situation requires more immediate assessment and action due to the expressed suicidal ideation.

A. Invite a family member to be present for the nursing history. B. Provide basic wound care for obvious physical injuries. C. Be direct and honest when speaking with the client. D. Probe the client to offer a factual account of the abuse.

Correct Answer is C

Explanation

Rationale for A: Inviting a family member to be present may hinder communication, especially if the family member is involved in the abuse or the client feels unsafe speaking in their presence. Privacy is crucial for encouraging open communication.

Rationale for B: Providing basic wound care is important for physical injuries, but it does not directly address promoting communication. The nurse should focus on creating a safe environment for the client to talk.

Rationale for C: Being direct and honest when speaking with the client promotes trust and open communication. Clients who are suspected of being abused may be fearful or reluctant to share information, so clear, respectful communication helps create a supportive environment.

Rationale for D: Probing the client for a factual account of the abuse may make the client feel pressured or overwhelmed. The nurse should allow the client to share information at their own pace without feeling forced to disclose details.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client 3 days after admission for treatment of depression. The client leaves her current activity, approaches the nurse and states, "There's no reason to go on living. I just want to end it all." Which of the following actions should the nurse take?

Correct Answer is C

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?

Correct Answer is C

Explanation

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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?

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