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UNIT 2 ■ Psychiatric Mental Health Nursing Interventions
Review Questions
Select the answer that is most appropriate for each of the following questions: 1. Which individual demonstrates the highest number of risk factors for suicide? a. A client who reports that they are in deep emotional pain, feels hopeless, and says “No one is there for me” b. A client who has been seeing a doctor for chronic, intractable pain and is taking pain medication
c. An American Indian client who graduated from high school with honors d. A physician who reports feeling “burnt out” and is considering retirement
2. The nurse in the emergency department encounters a client who is expressing suicide ideation. The nurse recognizes which consideration as important to good suicide risk assessment? (Select all that apply.) a. Collaborating with the client b. Asking specific questions about leisure activities c. Establishing trust and open communication with the client
d. Asking the client specific questions about the strength of their intention to die e. Identifying whether the client has thought about a plan for trying to kill themselves
3. A client is hospitalized following a suicide attempt after breaking up with her boyfriend. Freudian psychoanalytic theory would explain the client’s suicide attempt in which of the following ways?
a. She feels hopeless about her future without her boyfriend. b. Without her boyfriend, she feels like an outsider with her peers. c. She is feeling intense guilt because her boyfriend broke up with her.
d. She is angry at her boyfriend for breaking up with her and has turned the anger inward on herself. 4. Which intervention is appropriate for a client on suicide precautions? (Select all that apply.) a. Remove all sharp objects, belts, and other potentially dangerous articles from the client’s environment. b. Accompany the client to off-unit activities. c. Reassess intensity of suicidal thoughts and urges on a regular basis. d. Put all of the client’s possessions in storage and explain that they will be returned when there is no longer a risk for suicide. 5. Success of long-term psychotherapy with a client (who attempted suicide following a breakup with his girlfriend) could be measured by which behavior? a. The client has a new girlfriend. b. The client has an increased sense of self-worth. c. The client does not take antidepressants anymore. d. The client told his old girlfriend how angry he was with her for breaking up with him. Clinical Judgment Questions 6. A 27-year-old female client was admitted to the psychiatric unit from the medical intensive care unit where she was treated for taking a deliberate overdose of her antidepressant medication, trazodone (Desyrel). She says to the nurse, “My boyfriend broke up with me. We had been together for 6 years. I love him so much. I know I’ll never get over him.” Which is the best response by the nurse? a. “You’ll get over him in time.”
b. “Forget him. There are other fish in the sea.” c. “You must be feeling very sad about your loss.” d. “Why do you think he broke up with you?”
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