When assessing a patient's plan for suicide, what aspect has priority?

Availability of means and lethality of method

Patient's insight into the suicidal motivation

Quality and availability of patient's social support

Patient's financial and educational status

Answer and Explanation

The Correct Answer is A

A.   Availability of means and lethality of method is a priority as it directly influences the risk and immediacy of a potential suicide attempt. Access to lethal methods increases the risk of a fatal outcome.
B.   The patient's insight into the suicidal motivation is valuable, but it may not indicate immediate risk or specific details about the plan.
C.   Quality and availability of social support are important for long-term prevention but may not provide immediate information about the plan or risk.
D.   Patient's financial and educational status might be factors contributing to stress but may not directly reflect the immediate risk of suicide.

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Correct Answer is B

Explanation

A. Using a threat about meals isn't a therapeutic approach to encourage participation and may further distress the client.
B. This response offers assistance while encouraging participation, respecting the client's autonomy by suggesting a balance between activity and rest.
C. Using a direct order may escalate resistance and isn't likely to be helpful.
D. This response doesn't encourage participation and may perpetuate the client's withdrawal.

A. Staying alone in a dorm room B. Excessive crying C. Giving away sweaters D. Calling parents

Correct Answer is C

Explanation

A. While staying alone can be concerning, it might not be the strongest indicator of an impending suicide attempt in this scenario.
B. Excessive crying is a potential sign of distress but might not directly point towards an impending suicide attempt.
C. Giving away prized possessions or making significant gifts is often considered a strong indicator of an impending suicide attempt, indicating a sense of "getting affairs in order."
D. Attempting to communicate with family might suggest seeking support rather than indicating an impending suicide attempt.

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When assessing a patient's plan for suicide, what aspect has priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has depression. The client refuses to get out of bed, go to activities, or participate in any of the unit's programs. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

After failing two tests, a college student cried for hours and then tried to telephone a parent but got no answer. The student then gave several expensive sweaters to a roommate. Which behavior provides the strongest clue of an impending suicide attempt?

Correct Answer is C

Explanation

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