An elderly male client is hospitalized immediately after attempting suicide. Which of the following is implemented as a suicide precaution?
Facilitate time alone for the client.
Make a no self-harm contract.
Administer antianxiety medication
Prevent family/friend visitation for 48 hours
The Correct Answer is B
A. Facilitate time alone for the client. Allowing time alone is not appropriate for a suicidal client as it increases the risk of self-harm.
B. Make a no self-harm contract. A no self-harm contract can be part of a suicide prevention plan, where the client agrees to not harm themselves and to seek help if they feel the urge to do so.
C. Administer antianxiety medication: While medication can help with anxiety, it is not a primary intervention for immediate suicide prevention.
D. Prevent family/friend visitation for 48 hours: Preventing visitation can increase feelings of isolation and is not an appropriate intervention for suicide prevention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Adjustment disorder: Adjustment disorder involves emotional or behavioral symptoms in response to a stressor, but not typically to the extent of physical aggression.
B. Intermittent explosive disorder: Intermittent explosive disorder is characterized by sudden episodes of unwarranted anger and impulsive, aggressive behavior that are grossly out of proportion to the provocation or stressor present is consistent with the described actions.
C. Conduct disorder: Conduct disorder typically involves a pattern of behavior that violates societal norms and the rights of others, more commonly diagnosed in children and adolescents.
D. Oppositional defiant disorder: Oppositional defiant disorder involves a pattern of angry, defiant behavior towards authority, but does not typically include physical aggression towards non-family members.
Correct Answer is A
Explanation
A. Inspect the client's personal belongings. Inspecting the client's personal belongings helps to ensure that the client does not have access to items that could be used for self-harm, such as sharp objects or medications.
B. Assign the client to a private room. Assigning a client who has attempted suicide to a private room can increase isolation and the risk of self-harm, as they are not easily observed.
C. Tuck bedcovers over client's hands and arms. This intervention is not effective and could potentially restrict the client's movement, increasing feelings of distress.
D. Remove utensils from the client's meal trays. Removing utensils, especially sharp ones, from meal trays helps to prevent the client from using them to harm themselves.
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