Question 1

A suicidal client says to a nurse,"There's nothing to live for anymore." Which is the best nursing reply?

Accepted Answer

A) "Why don't you consider doing volunteer work in a homeless shelter?" 
B) "Let's discuss the negative aspects of your life." 
C) "Things will look better in the morning." 
D) "It sounds like you are feeling pretty hopeless." 
A) "Why don't you consider doing volunteer work in a homeless shelter?" 
B) "Let's discuss the negative aspects of your life." 
C) "Things will look better in the morning." 
D) "It sounds like you are feeling pretty hopeless." D

Question 2

A client with a history of three suicide attempts has been taking fluoxetine (Prozac)for 1 month.The client suddenly presents with a bright affect,is much more communicative,and rates mood at 9/10.Which action should be the nurse's priority at this time?

Accepted Answer

A) Give the client off-unit privileges as positive reinforcement. 
B) Encourage the client to share mood improvement in group. 
C) Increase frequency of client observation. 
D) Request that the psychiatrist reevaluate the current medication protocol. 
A) Give the client off-unit privileges as positive reinforcement. 
B) Encourage the client to share mood improvement in group. 
C) Increase frequency of client observation. 
D) Request that the psychiatrist reevaluate the current medication protocol. C

Question 3

A new nursing graduate asks the psychiatric nurse manager how to best classify suicide.Which is the nurse manager's best reply?

Accepted Answer

A) "Suicide is a Diagnostic and Statistical Manual of Mental Disorders,Fifth Edition diagnosis." 
B) "Suicide is a mental disorder." 
C) "Suicide is a behavior." 
D) "Suicide is an antisocial affliction." 
A) "Suicide is a Diagnostic and Statistical Manual of Mental Disorders,Fifth Edition diagnosis." 
B) "Suicide is a mental disorder." 
C) "Suicide is a behavior." 
D) "Suicide is an antisocial affliction." C

Question 4

After a teenager reveals that he is gay,the father responds by beating him.The next morning,the teenager is found hanging in his closet.Which paternal grief responses should a nurse anticipate? Select all that apply.

Accepted Answer

A) "I can't believe this is happening." 
B) "If only I had been more understanding." 
C) "How dare he do this to me!" 
D) "I'm just going to have to accept that he was gay." 
E) "Well,that was a selfish thing to do." 
A) "I can't believe this is happening." 
B) "If only I had been more understanding." 
C) "How dare he do this to me!" 
D) "I'm just going to have to accept that he was gay." 
E) "Well,that was a selfish thing to do."

Question 5

The treatment team is making a discharge decision regarding a previously suicidal client.Which client assessment information should a nurse recognize as contributing to the team's decision?

Accepted Answer

A) No previous admissions for major depressive disorder 
B) Vital signs stable;no psychosis noted 
C) Able to comply with medication regimen;able to problem-solve life issues 
D) Able to participate in a plan for safety;family agrees to constant observation 
A) No previous admissions for major depressive disorder 
B) Vital signs stable;no psychosis noted 
C) Able to comply with medication regimen;able to problem-solve life issues 
D) Able to participate in a plan for safety;family agrees to constant observation

Question 6

A stockbroker commits suicide after being convicted of insider trading.While speaking with the family,which statement by the nurse demonstrates accurate and appropriate sharing of information?

Accepted Answer

A) "Your grieving will subside within 1 year;until then,I recommend antidepressants." 
B) "Support groups are available specifically for survivors of suicide,and I would be glad to help you locate one in this area." 
C) "The only way to deal effectively with this kind of grief is to write a letter to the brokerage firm to express your anger with them." 
D) "Since stigmatization often occurs in these situations,it would be best if you avoid discussing the suicide with anyone." 
A) "Your grieving will subside within 1 year;until then,I recommend antidepressants." 
B) "Support groups are available specifically for survivors of suicide,and I would be glad to help you locate one in this area." 
C) "The only way to deal effectively with this kind of grief is to write a letter to the brokerage firm to express your anger with them." 
D) "Since stigmatization often occurs in these situations,it would be best if you avoid discussing the suicide with anyone."

Question 7

A client has been brought to the emergency department for signs and symptoms of chronic obstructive pulmonary disease.The client has a history of a suicide attempt 1 year ago.Which nursing intervention is the priority?

Accepted Answer

A) Assessing the client's pulse oximetry and vital signs 
B) Developing a plan for safety for the client 
C) Assessing the client for suicidal ideations 
D) Establishing a trusting nurse-client relationship 
A) Assessing the client's pulse oximetry and vital signs 
B) Developing a plan for safety for the client 
C) Assessing the client for suicidal ideations 
D) Establishing a trusting nurse-client relationship

Question 8

Nursing students were provided serum levels of 30 different patients and were asked to identify those most at risk for a future suicide attempt based on the laboratory levels alone.Which two of the following factors should the students focus on for statistically significant biological factors? Select two choices.

Accepted Answer

A) Serotonin 
B) Fish oil nutrients 
C) Cytokines 
D) 5-hydroxyindole acetic acid (5-HIA
A)  
A) Serotonin 
B) Fish oil nutrients 
C) Cytokines 
D) 5-hydroxyindole acetic acid (5-HIA
A)

Question 9

A nursing instructor is teaching about suicide in the elderly population.Which information does the instructor include?

Accepted Answer

A) Elderly people use less lethal means to commit suicide. 
B) Although the elderly make up less than 13 percent of the population,they account for 15 percent of all suicides. 
C) Suicide is the second-leading cause of death among the elderly. 
D) It is normal for elderly individuals to express a desire to die because they have come to terms with their mortality. 
A) Elderly people use less lethal means to commit suicide. 
B) Although the elderly make up less than 13 percent of the population,they account for 15 percent of all suicides. 
C) Suicide is the second-leading cause of death among the elderly. 
D) It is normal for elderly individuals to express a desire to die because they have come to terms with their mortality.

Question 10

Which data indicate a suicidal client is participating in a safety plan?

Accepted Answer

A) Compliance with antidepressant therapy 
B) A mood rating of 9/10 
C) Disclosing a plan for suicide to staff 
D) Expressing feelings of hopelessness to nurse 
A) Compliance with antidepressant therapy 
B) A mood rating of 9/10 
C) Disclosing a plan for suicide to staff 
D) Expressing feelings of hopelessness to nurse

Question 11

Which of the following is considered a fact about suicide?

Accepted Answer

A) Drug overdose is the leading cause of death among suicide victims. 
B) Once a person is considered suicidal,he or she should be viewed as suicidal indefinitely. 
C) Most suicidal people have ambivalent feelings regarding living or dying. 
D) Suicide runs in families. 
A) Drug overdose is the leading cause of death among suicide victims. 
B) Once a person is considered suicidal,he or she should be viewed as suicidal indefinitely. 
C) Most suicidal people have ambivalent feelings regarding living or dying. 
D) Suicide runs in families.

Question 12

Which is a correctly written,appropriate outcome for a client with a history of suicide attempts who is currently exhibiting symptoms of low self-esteem by isolating self?

Accepted Answer

A) The client will not physically harm self. 
B) The client will express three positive self-attributes by day 4. 
C) The client will reveal a suicide plan. 
D) The client will establish a trusting relationship. 
A) The client will not physically harm self. 
B) The client will express three positive self-attributes by day 4. 
C) The client will reveal a suicide plan. 
D) The client will establish a trusting relationship.

Question 13

The family of a suicidal client is supportive and requests more facts related to caring for their family member after discharge.Which information should the nurse provide?

Accepted Answer

A) Address only serious suicide threats to avoid the possibility of secondary gain. 
B) Promote trust by verbalizing a promise to keep suicide attempt information within the family. 
C) Offer a private environment to provide needed time alone at least once a day. 
D) Be available to actively listen,support,and accept the client's feelings. 
A) Address only serious suicide threats to avoid the possibility of secondary gain. 
B) Promote trust by verbalizing a promise to keep suicide attempt information within the family. 
C) Offer a private environment to provide needed time alone at least once a day. 
D) Be available to actively listen,support,and accept the client's feelings.

Question 14

A nursing student is developing a plan of care for a suicidal client.Which intervention should the student implement first?

Accepted Answer

A) Communicate therapeutically. 
B) Observe the client. 
C) Provide a hazard-free environment. 
D) Assess suicide risk. 
A) Communicate therapeutically. 
B) Observe the client. 
C) Provide a hazard-free environment. 
D) Assess suicide risk.

Question 15

A nursing student is developing a study guide related to historical facts about suicide.Which of the following facts should the student include? Select all that apply.

Accepted Answer

A) In the Middle Ages,suicide was viewed as a selfish and criminal act. 
B) During the Roman Empire,suicide was followed by incineration of the body. 
C) Suicide was an offense in ancient Greece,and a common-site burial was denied. 
D) During the Renaissance,suicide was discussed and viewed more philosophically. 
E) Old Norse traditionally set a person who committed suicide adrift in the North Sea. 
A) In the Middle Ages,suicide was viewed as a selfish and criminal act. 
B) During the Roman Empire,suicide was followed by incineration of the body. 
C) Suicide was an offense in ancient Greece,and a common-site burial was denied. 
D) During the Renaissance,suicide was discussed and viewed more philosophically. 
E) Old Norse traditionally set a person who committed suicide adrift in the North Sea.

Question 16

During a one-to-one session,the client states,"Nothing will ever get better," and "Nobody can help me." Which nursing diagnosis is most appropriate for the nurse to assign at this time?

Accepted Answer

A) Powerlessness R/T altered mood AEB client statements 
B) Risk for injury R/T altered mood AEB client statements 
C) Risk for suicide R/T altered mood AEB client statements 
D) Hopelessness R/T altered mood AEB client statements 
A) Powerlessness R/T altered mood AEB client statements 
B) Risk for injury R/T altered mood AEB client statements 
C) Risk for suicide R/T altered mood AEB client statements 
D) Hopelessness R/T altered mood AEB client statements

Question 17

According to the Three-Step Theory,when strong,active suicide ideation is present:

Accepted Answer

A) An attempt occurs usually within 3 to 6 months. 
B) Pain management usually prevents escalation to an attempt. 
C) It leads to an attempt only if one has the capacity to make an attempt. 
D) Connectedness to family typically resolves any attempt. 
A) An attempt occurs usually within 3 to 6 months. 
B) Pain management usually prevents escalation to an attempt. 
C) It leads to an attempt only if one has the capacity to make an attempt. 
D) Connectedness to family typically resolves any attempt.

Question 18

The predisposing factor,anger turned inward,is a psychological theory of Freud's proposing which of the following?

Accepted Answer

A) The strength of a person's intention to die is as significant as his or her feeling of hopelessness. 
B) Suicide occurs because of an earlier repressed desire to kill someone else. 
C) Suicide is a way to prevent public humiliation following a social defeat. 
D) Suicide occurs when a person feels separate from the mainstream of society. 
A) The strength of a person's intention to die is as significant as his or her feeling of hopelessness. 
B) Suicide occurs because of an earlier repressed desire to kill someone else. 
C) Suicide is a way to prevent public humiliation following a social defeat. 
D) Suicide occurs when a person feels separate from the mainstream of society.

Question 19

After years of dialysis,an 84-year-old states,"I'm exhausted,depressed,and done with these attempts to keep me alive." Which question should the nurse ask the spouse when preparing a discharge plan of care?

Accepted Answer

A) "Have there been any changes in your spouse's appetite or sleep?" 
B) "How often is your spouse left alone?" 
C) "Has your spouse been following a diet and exercise program consistently?" 
D) "How would you characterize your relationship with your spouse?" 
A) "Have there been any changes in your spouse's appetite or sleep?" 
B) "How often is your spouse left alone?" 
C) "Has your spouse been following a diet and exercise program consistently?" 
D) "How would you characterize your relationship with your spouse?"

Question 20

A nurse discovers a client's suicide note that details the time,place,and means to commit suicide.Which is the priority nursing intervention and the rationale for this action?

Accepted Answer

A) Administering lorazepam (Ativan)prn,because the client is angry about the discovery of the note 
B) Establishing room restrictions,because the client's threat is an attempt to manipulate the staff 
C) Placing this client on one-to-one suicide precautions,because the more specific the plan,the more likely the client will attempt suicide 
D) Calling an emergency treatment team meeting,because the client's threat must be addressed 
A) Administering lorazepam (Ativan)prn,because the client is angry about the discovery of the note 
B) Establishing room restrictions,because the client's threat is an attempt to manipulate the staff 
C) Placing this client on one-to-one suicide precautions,because the more specific the plan,the more likely the client will attempt suicide 
D) Calling an emergency treatment team meeting,because the client's threat must be addressed

Exam 17: Suicide Prevention

A suicidal client says to a nurse,"There's nothing to live for anymore." Which is the best nursing reply?

A client with a history of three suicide attempts has been taking fluoxetine (Prozac)for 1 month.The client suddenly presents with a bright affect,is much more communicative,and rates mood at 9/10.Which action should be the nurse's priority at this time?

A new nursing graduate asks the psychiatric nurse manager how to best classify suicide.Which is the nurse manager's best reply?

After a teenager reveals that he is gay,the father responds by beating him.The next morning,the teenager is found hanging in his closet.Which paternal grief responses should a nurse anticipate? Select all that apply.

The treatment team is making a discharge decision regarding a previously suicidal client.Which client assessment information should a nurse recognize as contributing to the team's decision?

A stockbroker commits suicide after being convicted of insider trading.While speaking with the family,which statement by the nurse demonstrates accurate and appropriate sharing of information?

A client has been brought to the emergency department for signs and symptoms of chronic obstructive pulmonary disease.The client has a history of a suicide attempt 1 year ago.Which nursing intervention is the priority?

A nursing instructor is teaching about suicide in the elderly population.Which information does the instructor include?

Which data indicate a suicidal client is participating in a safety plan?

Which of the following is considered a fact about suicide?

Which is a correctly written,appropriate outcome for a client with a history of suicide attempts who is currently exhibiting symptoms of low self-esteem by isolating self?

The family of a suicidal client is supportive and requests more facts related to caring for their family member after discharge.Which information should the nurse provide?

A nursing student is developing a plan of care for a suicidal client.Which intervention should the student implement first?

A nursing student is developing a study guide related to historical facts about suicide.Which of the following facts should the student include? Select all that apply.

During a one-to-one session,the client states,"Nothing will ever get better," and "Nobody can help me." Which nursing diagnosis is most appropriate for the nurse to assign at this time?

According to the Three-Step Theory,when strong,active suicide ideation is present:

The predisposing factor,anger turned inward,is a psychological theory of Freud's proposing which of the following?

After years of dialysis,an 84-year-old states,"I'm exhausted,depressed,and done with these attempts to keep me alive." Which question should the nurse ask the spouse when preparing a discharge plan of care?

A nurse discovers a client's suicide note that details the time,place,and means to commit suicide.Which is the priority nursing intervention and the rationale for this action?

The Concept of Stress Adaptation

Mental Health and Mental Illness: Historical and Theoretical Concepts

Concepts of Psychobiology

Psychopharmacology

Ethical and Legal Issues

Cultural and Spiritual Concepts Relevant to Psychiatric-Mental Health Nursing

Relationship Development

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The Nursing Process in Psychiatric-Mental Health Nursing

Therapeutic Groups

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Issues Related to Human Sexuality and Gender Dysphoria

Eating Disorders

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Children and Adolescents

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