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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Referring the patient to a minister avoids the nurse’s responsibility to provide immediate therapeutic support.
B. This response reflects the patient’s feelings and encourages further expression, which is therapeutic in depression.
C. Asking “why” can feel judgmental and place the patient on the defensive, which is non-therapeutic.
D. Giving false reassurance or imposing religious beliefs does not address the patient’s feelings and may shut down communication.
Correct Answer is B
Explanation
A. Voluntary admission does not remove a patient’s right to refuse treatment; informed consent is still required for all medications and procedures.
B. Clients admitted voluntarily retain the right to make decisions about their care, including providing informed consent for treatments and medications. This statement accurately reflects the client’s rights.
C. Healthcare providers are not allowed to disclose patient admission information without consent; confidentiality is maintained.
D. Voluntary patients have the right to request discharge, usually with a short notice period, even before a formal discharge summary is completed.
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