Which individual should the nurse consider at highest risk for suicide?

A retired older male whose significant other has passed away.

A nurse who works in a pediatric emergency department.

An adolescent male whose parents recently divorced.

A single working mother with three pre-school aged children.

Answer and Explanation

The Correct Answer is C

A.   While the loss of a significant other can be a risk factor for suicide, retired older males may have developed coping mechanisms over time that could mitigate the risk.
B.   While working in a pediatric emergency department can be stressful, it does not necessarily indicate a higher risk for suicide compared to other factors such as personal life stressors or mental health issues.
C.   Adolescents experiencing significant life changes such as parental divorce are at increased risk for suicide due to the emotional upheaval and lack of coping skills typical of this age group.

D.   While being a single working mother with three preschool-aged children can be stressful, it does not inherently indicate a higher risk for suicide compared to other factors such as social support, coping mechanisms, and mental health status.

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Correct Answer is B

Explanation

A. Shortness of breath and diaphoresis are more indicative of a medical condition such as a panic attack or cardiovascular problem rather than a conversion disorder.
B. Sudden blindness with no organic pathology suggests a functional neurological symptom disorder, which falls under the category of conversion disorder.
C. Continuous complaints of headache and back pain could be symptoms of various medical conditions and may not specifically indicate a conversion disorder.
D. Extreme anxiety about going outside may indicate agoraphobia or another anxiety disorder rather than a conversion disorder.

A. Ignore the nonverbal behavior and focus on the client's verbal messages. B. Integrate the verbal and nonverbal messages and interpret them as one. C. Ask the client's spouse to interpret the discrepancy. D. Pay close attention and document the nonverbal messages.

Correct Answer is D

Explanation

A. Ignoring nonverbal behavior may overlook important cues that could provide valuable insight into the client's condition and needs.
B. Integrating verbal and nonverbal messages is important, but it may not address the discrepancy or the potential significance of the nonverbal cues.
C. Asking the client's spouse to interpret the discrepancy may not be appropriate or effective, as the spouse may not fully understand the client's nonverbal cues or their significance.
D. Paying close attention and documenting nonverbal messages allows the nurse to gather comprehensive data and potentially explore the observed discrepancy further in subsequent interactions or assessments.

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Which individual should the nurse consider at highest risk for suicide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The charge nurse of the psychiatric unit observes clients in the day area. Which client is exhibiting symptoms of a conversion disorder?

Correct Answer is B

Explanation

A client requests permission for the spouse to remain in the room during the admission assessment. While interviewing the client, the nurse notes a discrepancy between the client's verbal and nonverbal communication. Which action should the nurse take?

Correct Answer is D

Explanation

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