Which measure would be considered a form of primary prevention for suicide?
Referral of a formerly suicidal patient to a support group.
Psychiatric hospitalization of a suicidal patient
Suicide precautions for 24 hours for newly admitted patients.
Helping school children learn to manage stress and be resilient.
The Correct Answer is D
A. Referral of a formerly suicidal patient to a support group is a form of tertiary prevention, aimed at preventing recurrence and promoting recovery after an event.
B. Psychiatric hospitalization of a suicidal patient is considered secondary prevention, targeting individuals at immediate risk to prevent harm.
C. Suicide precautions for 24 hours for newly admitted patients is secondary prevention, focused on intervening during a high-risk period.
D. Helping school children learn to manage stress and be resilient is primary prevention, aimed at preventing the onset of suicidal behaviors before any signs or risk factors appear.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Confidentiality does not end when a client dies; healthcare professionals are still required to protect the privacy of medical records and disclosures.
B. This reflects the "duty to warn" principle (Tarasoff ruling), which legally obligates providers to take reasonable steps to protect identifiable individuals if a client poses a threat of harm. This is a recognized exception to confidentiality.
C. Healthcare workers must comply with court orders or subpoenas requesting medical information. Refusing is not legally permissible.
D. Attorneys do not automatically have access to client information; a legal order is required. Confidentiality is not broken based on an attorney’s request alone.
Correct Answer is B
Explanation
A. Seclusion is a last-resort intervention, not an initial step.
B. Staff meetings to ensure consistent approaches, structure, and limit-setting prevent staff fatigue, reduce defensiveness, and provide therapeutic consistency for the client.
C. Confronting the patient directly about unacceptable behavior may escalate agitation and is not the most effective prevention strategy.
D. Group discussions with patients about one individual’s behavior would be inappropriate and non-therapeutic.
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