Question 1

Which statement indicates that the nurse is acting as an advocate for a client who was hospitalized after a suicide attempt and is now nearing discharge?

Accepted Answer

A)  "I must observe you continually for 1 hour in order to keep you safe." 
B)  "Let's confer with the treatment team about the resources that you may need after discharge." 
C)  "You must have been very upset to do what you did today." 
D)  "Are you currently thinking about harming yourself?" 
A)  "I must observe you continually for 1 hour in order to keep you safe." 
B)  "Let's confer with the treatment team about the resources that you may need after discharge." 
C)  "You must have been very upset to do what you did today." 
D)  "Are you currently thinking about harming yourself?"

Question 2

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

Accepted Answer

A)  Elderly people use less lethal means to commit suicide. 
B)  Although the elderly make up less than 13% of the population, they account for 16% 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% of the population, they account for 16% 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 3

A client has been brought to the emergency department for signs and symptoms of Chronic Obstructive Pulmonary Disease (COPD).The client has a history of a suicide attempt 1 year ago.Which nursing intervention would take priority in this situation?

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 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 nurse is caring for a client who has threatened to commit suicide by hanging.The client states,"I'm going to use a knotted shower curtain when no one is around." Which information would determine the nurse's plan of care for this client?

Accepted Answer

A)  The more specific the plan is, the more likely the client will attempt suicide. 
B)  Clients who talk about suicide never actually commit it. 
C)  Clients who threaten suicide should be observed every 15 minutes. 
D)  After a brief assessment, the nurse should avoid the topic of suicide. 
A)  The more specific the plan is, the more likely the client will attempt suicide. 
B)  Clients who talk about suicide never actually commit it. 
C)  Clients who threaten suicide should be observed every 15 minutes. 
D)  After a brief assessment, the nurse should avoid the topic of suicide.

Exam 17: The Suicidal Client

Which statement indicates that the nurse is acting as an advocate for a client who was hospitalized after a suicide attempt and is now nearing discharge?

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

A client has been brought to the emergency department for signs and symptoms of Chronic Obstructive Pulmonary Disease (COPD).The client has a history of a suicide attempt 1 year ago.Which nursing intervention would take priority in this situation?

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 nurse is caring for a client who has threatened to commit suicide by hanging.The client states,"I'm going to use a knotted shower curtain when no one is around." Which information would determine the nurse's plan of care for this client?

The Concept of Stress Adaptation

Mental Health/Mental Illness: Historical and Theoretical Concepts

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