Exam 17: The Suicidal Client

A client is newly admitted to an inpatient psychiatric unit.Which of the following is most critical to assess when determining risk for suicide?

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

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

During the planning of care for a suicidal client,which correctly written outcome should be a nurse's first priority?

A nurse recently admitted a client to an inpatient unit after a suicide attempt.A health-care provider orders amitriptyline (Elavil)for the client.Which intervention related to this medication should be initiated to maintain this client's safety upon discharge?

A client diagnosed with major depressive disorder with psychotic features hears voices commanding self-harm.The client refuses to commit to developing a plan for safety.What should be the nurse's priority intervention at this time?

A nurse is caring for four clients diagnosed with major depressive disorder.When considering each client's belief system,the nurse should conclude which client would potentially be at highest risk for suicide?

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.

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,rates mood at 9/10,and is much more communicative.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?

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

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

Which nursing intervention strategy is most appropriate to implement initially with a suicidal client?

A nursing instructor is teaching about suicide.Which student statement indicates that learning has occurred?

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

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

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?

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

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 client is newly committed to an inpatient psychiatric unit.Which nursing intervention best lowers this client's risk for suicide?