When considering an individual's risk for suicide, which client will the nurse consider the priority?

The recent Middle Eastern immigrant from a war-torn country

The gay male who has been diagnosed with HIV

The older transgender female who has been repeatedly assaulted

The teenager recovering from a self-inflicted gunshot wound

Answer and Explanation

The Correct Answer is D

A.   Being an immigrant from a war-torn country is a risk factor but not an immediate priority based on the information provided.
B.   While being diagnosed with HIV poses mental health risks, there's no immediate suicidal attempt or ideation described in the scenario.
C.   Repeated assaults are traumatic, but there's no indication of immediate suicidal risk.
D.   The teenager recovering from a self-inflicted gunshot wound indicates an immediate and recent attempt at suicide, making them the highest priority for monitoring and intervention.

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Correct Answer is B

Explanation

A. Intervening during self-harm is more related to beneficence (preventing harm) rather than autonomy (respecting the patient's right to make decisions).
B. Autonomy involves respecting a patient's right to make decisions about their care, including discussing alternatives for treatment.
C. Staying with an anxious patient is supportive but doesn't specifically address the principle of autonomy.
D. Restricting patients who are fighting is more related to safety and order within the unit, not necessarily autonomy.

A. Patient is attempting to use relaxation strategies. B. Patient is demonstrating withdrawal behaviors. C. Patient is exhibiting clues to potential aggression. D. Patient is trying to work through angry feelings.

Correct Answer is C

Explanation

A. Relaxation strategies involve deliberate and often structured activities aimed at reducing tension and stress, which isn't depicted in the described behavior.
B. Withdrawal behaviors typically involve avoiding social interaction or retreating, which doesn't align with the observed actions.
C. The described behavior, including pacing, clenching fists, and staring at a staff member, indicates potential signs of aggression or agitation.
D. Working through angry feelings might involve communication or expression of emotions, but the described behavior leans more towards agitation and potential aggression.

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When considering an individual's risk for suicide, which client will the nurse consider the priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

How does a psychiatric nurse best implement the ethical principle of autonomy?

Correct Answer is B

Explanation

Correct Answer is C

Explanation

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