It has been 5 days since a suicidal patient was hospitalized and prescribed an antidepressant medication. The patient is now more talkative and shows increased energy. Select the highest priority nursing intervention.
Consider discontinuation of suicide precautions.
Supervise the patient 24 hours a day.
Begin discharge planning for the patient.
Refer the patient to art and music therapists
The Correct Answer is B
A. Suicide precautions should never be discontinued at this time; in fact, suicide risk is highest when energy improves before mood fully stabilizes.
B. Increased energy after starting antidepressants raises suicide risk, as the patient may now have the ability to act on suicidal thoughts. Continuous supervision is the priority for safety.
C. Discharge planning is premature at this stage; safety comes first.
D. Art and music therapy may be beneficial long-term but do not address the immediate suicide risk.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Occasional toileting accidents may be developmentally normal at age 3 and are not specific to autism spectrum disorder (ASD).
B. Interrupting or intruding on others is more consistent with ADHD than autism.
C. Crying when separated from a parent is typical of separation anxiety, not autism.
D. Repetitive motor behaviors such as rocking, hand-flapping, or spinning are characteristic of autism spectrum disorder. These stereotypical movements are used for self-stimulation and regulation.
Correct Answer is C
Explanation
A. Haloperidol is not commonly associated with bleeding; this is more relevant to anticoagulants or antiplatelet therapy.
B. Pancreatitis is more commonly associated with certain antipsychotics like clozapine or valproate, not haloperidol.
C. Haloperidol, a typical antipsychotic, can prolong the QT interval and cause cardiac dysrhythmias, especially in higher doses or IV administration. Monitoring ECG and cardiac status is important.
D. Cataract formation is a potential adverse effect of long-term use of atypical antipsychotics such as quetiapine or olanzapine, not haloperidol.
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