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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A: Demonstrating empathy would involve acknowledging the client's feelings or beliefs, but the nurse does not validate the client's delusion or express understanding of the client's emotional state. Instead, the nurse redirects the client to the reality of the situation, which is the group therapy session.
B: The nurse's response is therapeutic because it clearly communicates the expectations of the therapy environment. By stating "it is time for group therapy and we expect everyone to attend," the nurse is providing clear, structured guidance without engaging with the delusion, which can help the client understand the reality of the situation and what is required of them.
C: Setting limits on manipulative behavior would involve addressing and curtailing attempts by the client to control or influence a situation for their own benefit. In this scenario, the client's behavior is delusional rather than manipulative, and the nurse's response does not directly set limits on manipulation but rather on adhering to the therapy schedule.
D: Using reflection would mean the nurse is mirroring the client's thoughts or feelings to help them self-reflect. However, the nurse does not reflect the client's statement but instead focuses on the expectations of the therapy program. The nurse's response does not encourage the client to reflect on their own thoughts or feelings but redirects them to the activity at hand.
Correct Answer is A
Explanation
A. This statement demonstrates the nurse's willingness to spend time with the patient to build rapport and trust, offering the nurse's presence and support.
B. This statement expresses hope but doesn't directly offer the nurse's presence or support.
C. This question encourages exploration of the patient's feelings but doesn't directly offer the nurse's presence.
D. This statement shares personal experiences but doesn't directly offer the nurse's presence or support.
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