(Select All That Apply): A nurse is providing care to a client who is displaying warning signs of suicidal ideation. Which interventions should the nurse prioritize to ensure the client's safety? (Select three.).
Monitoring the client's access to lethal means.
Encouraging the client to isolate themselves for self-reflection.
Providing the client with a detailed plan for coping.
Collaborating with the client's family and friends.
Administering sedative medications to keep the client calm.
Correct Answer : A,D,E
Choice A rationale:
Monitoring the client's access to lethal means is a crucial intervention to ensure the client's safety. This involves assessing the client's access to items that could be used for self-harm or suicide, such as medications, sharp objects, firearms, or other potentially dangerous items. By controlling the client's access to these means, the nurse can reduce the immediate risk of harm.
Choice D rationale:
Collaborating with the client's family and friends is essential in providing a supportive environment. These individuals can offer emotional support, encouragement, and supervision, which can contribute to the client's overall safety. The nurse can educate the client's support network about warning signs and appropriate responses, fostering a more secure environment.
Choice E rationale:
Administering sedative medications to keep the client calm is not a recommended intervention for ensuring the safety of a client displaying suicidal ideation. Sedative medications may temporarily mask the client's distress but will not address the underlying issues contributing to their suicidal thoughts. Moreover, sedatives can have side effects and potentially interact with other medications, further complicating the situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
Choice A rationale:
Exploring the client's feelings and thoughts about suicide is crucial to understanding their perspective, emotions, and reasons behind their thoughts. Openly discussing these feelings can help the client feel understood and validated, fostering a therapeutic relationship and potentially reducing their distress.
Choice B rationale:
Developing a safety plan with the client is essential. A safety plan outlines strategies the client can use when they experience suicidal thoughts or overwhelming emotions. It includes steps to manage their emotions, reach out for support, and avoid harmful behaviors. Having a concrete plan in place empowers the client to take control of their safety.
Choice E rationale:
Identifying the client's support systems and resources is important for their recovery. Building a network of people who can offer emotional support, as well as identifying professional resources such as therapists or support groups, can enhance the client's coping mechanisms and reduce feelings of isolation.
Correct Answer is ["B","C","E"]
Explanation
Choice A rationale:
Being extroverted is not a common risk factor associated with suicide and suicidal ideation. Extroverted individuals typically have strong social interactions and connections, which are often considered protective factors against suicide.
Choice B rationale:
Having strong family support is not a common risk factor for suicide. In fact, strong family support is generally considered a protective factor that can mitigate the risk of suicidal thoughts and behaviors. Close familial relationships can provide emotional support and a sense of belonging.
Choice C rationale:
Experiencing chronic physical illness is a common risk factor for suicide. Chronic physical illness can lead to prolonged suffering, decreased quality of life, and feelings of hopelessness, which are all associated with an increased risk of suicidal ideation.
Choice D rationale:
Having a history of positive life events is not a common risk factor for suicide. Positive life events are more likely to act as protective factors against suicide, as they contribute to an individual's overall well-being and resilience.
Choice E rationale:
Suffering from a substance use disorder is a common risk factor for suicide. Substance abuse can impair judgment, increase impulsivity, exacerbate emotional distress, and weaken the individual's ability to cope effectively, all of which contribute to an elevated risk of suicidal thoughts and behaviors.
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