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 A

Explanation

A. This situation reflects the responsibility of a nurse to advocate for patients' safety by intervening if they suspect a staff member is unfit to provide proper care.
B. Working with a client to identify triggers for aggressive behavior is more related to the therapeutic process than the specific role of patient advocacy.
C. A client's need for assistance while ambulating post-surgery is part of standard nursing care but does not directly involve patient advocacy.
D. Providing emotional support to a client experiencing a loss is part of nursing care but does not specifically address the nurse's role as a patient advocate.

A. Identifying the client's coping skills B. Determining if the client has psychotic thinking C. Identifying the client's support systems D. Asking the client to identify the cause of the crisis

Correct Answer is B

Explanation

A. While assessing coping skills is essential, in a crisis situation, determining immediate risks to the client's safety takes precedence.
B. Assessing for psychotic thinking is crucial to address immediate safety concerns. Psychosis can present significant risks and requires immediate attention.
C. While support systems are important for long-term recovery, determining immediate safety concerns is a priority.
D. Identifying the cause of the crisis is relevant but may not be the immediate priority when the client's safety is at risk due to potential psychotic thinking.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The decision to intervene as a patient advocate is clearly identified by the American Nurses Association's (ANA) code of ethics in which situation?

Correct Answer is A

Explanation

A nurse is performing an admission assessment for a client who is receiving treatment following a situational crisis. Which of the following assessments by the nurse is the highest priority?

Correct Answer is B

Explanation

A nurse is caring for a client following a suicide attempt. The client has a history ofdepression, substance abuse, and anorexia nervosa. Which of the following actions is the nurse's priority?

A severely depressed patient who has been on suicide precautions tells the nurse, "I am feeling a lot better, so you can stop watching me. I have taken too much of your time already." Which is the nurse's best response?

A patient cries as the nurse explores the patient's relationship with a deceased parent. The patient says, "I shouldn't be crying like this. It happened a long time ago." Which responses by the nurse will facilitate communication? (Select all that apply.)

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?

A nurse teaching a patient about a tyramine-restricted diet would approve which meal?

A nurse is providing teaching for a client who has major depressive disorder and is seeking voluntary admission to an acute mental health facility. Which of the following statements should the nurse include?

A nurse caring for a patient prescribed a selective serotonin reuptake inhibitor (SSRI) will develop outcome criteria related to what outcome?