A nurse on an acute care mental health unit is examining the belongings of a client who is being admitted following a suicide attempt.
Which of the following belongings should the nurse ask the client's partner to take back home?.
Necklace
Lace-up tennis shoes.
Nylon socks.
Cotton underwear.
The Correct Answer is A
Choice A rationale:
A necklace is not a risk as it does not pose a threat to the client’s safety.
Choice B rationale:
Lace-up tennis shoes are allowed as they do not pose a risk to the client’s safety.
Choice C rationale:
Nylon socks are allowed as they do not pose a risk to the client’s safety.
Choice D rationale:
Cotton underwear is allowed as it does not pose a risk to the client’s safety.
Choice E rationale:
A glass-framed picture should be taken back home as it can be broken and potentially used to harm oneself.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
If a client states that they do not want to live anymore and plans to end their life, the nurse should ask the client about the lethality of their plan. This can help the nurse assess the immediate risk and determine the appropriate level of intervention.
Choice B rationale:
While it’s important to encourage clients to focus on the positive aspects of life, this should not be the first response when a client expresses suicidal ideation. The priority is to assess the risk and ensure the client’s safety.
Choice C rationale:
Reassuring the client that everything is going to work out may seem helpful, but it can also minimize the client’s feelings and potentially make them feel misunderstood. The priority is to assess the risk and ensure the client’s safety.
Choice D rationale:
Allowing the client time alone to self-reflect is not the appropriate action when a client expresses suicidal ideation. The client should not be left alone, as they may be at risk of self-harm.
Correct Answer is A
Explanation
Choice A rationale:
Stress from a new job could indeed be a cause of a depressed mood. Changes in life circumstances, such as starting a new job, can be stressful and lead to feelings of depression.
Choice B rationale:
High blood pressure is not typically a direct cause of a depressed mood. It is a physical health condition that needs to be managed, but it does not directly cause depression.
Choice C rationale:
An elevated heart rate is not typically a direct cause of a depressed mood. It is a physical symptom that can be associated with many different conditions, but it does not directly cause depression.
Choice D rationale:
Renal dysfunction is not typically a direct cause of a depressed mood. It is a physical health condition that needs to be managed, but it does not directly cause depression.
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