Which of the following nursing interventions takes priority with a newly admitted client having suicidal ideations
Educate the patient at the time period before new medications before affective
Have the client verbalize their plans for discharge
Encouraging the client to participate in group therapy
Monitor the client closely but at random intervals
The Correct Answer is D
A. Educate the patient about the time period before new medications become effective. Education is important but not the priority in a crisis situation. Immediate safety is the top concern.
B. Have the client verbalize their plans for discharge. This is a future-oriented intervention, but the priority is ensuring the client's safety now.
C. Encouraging the client to participate in group therapy. Group therapy is beneficial but does not take precedence over ensuring immediate safety.
D. Monitor the client closely but at random intervals. Patients with suicidal ideation require close monitoring to prevent self-harm. Observing at random intervals reduces the chance of the patient anticipating when they are not being watched.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Nothing solid by mouth for 8 to 10 hours before surgery: While some surgeries may require longer fasting, the general guideline is at least 6-8 hours for solids.
B. Nothing solid by mouth for 10 to 12 hours before surgery: This is longer than necessary based on standard preoperative fasting guidelines.
C. Nothing solid by mouth for 12 to 14 hours before surgery: This is excessive and may lead to unnecessary discomfort.
D. Nothing solid by mouth for 6 to 8 hours before surgery: General guidelines recommend NPO for at least 6-8 hours before surgery to reduce the risk of aspiration during anesthesia. Clear liquids may be allowed up to 2 hours before surgery.
Correct Answer is B
Explanation
A. Educating the patient on the surgical process. Preoperative education is important, but ensuring that all essential preoperative requirements are met takes precedence.
B. Ensuring the patient's preoperative checklist is complete. The preoperative checklist ensures that all necessary steps (e.g., consent, lab results, NPO status) are completed before surgery. Missing an essential step could delay or complicate the procedure.
C. Answering all questions for the patient about surgery. Answering questions is important but is not the priority over ensuring surgical readiness.
D. Admitting the patient to the facility. While admission is necessary, it does not take precedence over ensuring all preoperative preparations are complete.
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