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 A
Explanation
A. This comment uses reflective communication to seek clarification and ensures the nurse accurately understands the patient’s concerns and feelings.
B. "Tell me everything from the beginning" may overwhelm the patient and does not specifically clarify understanding.
C. "Tell me again about your experiences" asks for repetition rather than clarification of understanding.
D. "What are the common elements here?" may be too abstract and analytical, making it difficult for the patient to respond effectively.
Correct Answer is B
Explanation
A. Antipsychotics are used for psychosis (e.g., schizophrenia, delusions, hallucinations), not for acute anxiety.
B. Benzodiazepines (e.g., lorazepam, diazepam, alprazolam) are the treatment of choice for acute anxiety or panic attacks because they act quickly (within minutes to hours) by enhancing GABA neurotransmission, providing rapid relief.
C. Mood stabilizers (e.g., lithium, valproate) are used in bipolar disorder, not for acute situational anxiety.
D. Tricyclic antidepressants (e.g., amitriptyline) are used for long-term management of depression and some anxiety disorders, but their onset is delayed (2–6 weeks), making them ineffective for acute anxiety.
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