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CHAPTER 11 ■ Suicide Prevention
7. The nurse identifies the primary nursing diagnosis for a client as “Risk for suicide related to feelings of hopelessness from loss of relationship.” Which outcome criterion is most appropriate for this diagnosis? a. The client has experienced no self-harm. b. The client sets realistic goals. c. The client expresses some optimism and hope for the future. d. The client has reached a stage of acceptance in the loss of the relationship. 8. A client is hospitalized following a suicide attempt after breaking up with their boyfriend. The client says to the nurse, “When I get out of here, I’m going to try this again, and next time I’ll choose a no-fail method.” Which is the best response by the nurse?
a. “You are safe here. We will make sure nothing happens to you.” b. “You’re just lucky your roommate came home when she did.” c. “What exactly do you plan to do?” d. “I don’t understand. You have so much to live for.”
9. In determining degree of suicide risk with a suicidal client, the nurse assesses the following behav- ioral manifestations: severely depressed, withdrawn, statements of worthlessness, difficulty accom- plishing activities of daily living, no close support systems. The nurse identifies the client’s risk for suicide as which of the following? a. Low risk b. High risk c. Imminent risk d. Unable to be determined 10. A client who has been hospitalized following a suicide attempt is placed on suicide precautions on the psychiatric unit. The client admits that they are still feeling suicidal. Which of the following interventions is most appropriate in this instance? (Select all that apply.) a. Restrict access to any item that might be harmful by placing the client in a seclusion room. b. Check on the client every 15 minutes at irregular intervals or assign a staff person to stay with them on a one-to-one basis. c. Obtain an order from the physician to give the client a sedative to calm them and reduce suicide ideas. d. Do not allow the client to participate in any unit activities while they are on suicide precautions. e. Ask the client specific questions about their thoughts, plans, and intentions related to suicide.
3. Mr. J tells the nurse that ever since his wife died 3 months ago, he doesn’t want to go on living. What would be an example of empathic communication in response to this statement by Mr. J?
Communication Exercises 1. Mr. J was brought to the emergency department by his brother who is concerned about Mr. J’s worsen- ing depression. During the assessment, Mr. J tells the nurse, “None of this matters. There’s nothing that can make this any better.” What would be an appropriate response by the nurse? 2. Mr. J admits to the nurse that he has had suicide ideas for the last couple of weeks. How would the nurse intervene with Mr. J at this point?
MOVIE CONNECTIONS Dead Poet’s Society • It’s Kind of a Funny Story • The Perks of Being a Wallflower • Girl, Interrupted • Cyberbully
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