Question 1

A nurse assesses the health status of soldiers returning from a war zone. Screening for which health problems will be a priority? (Select all that apply.)

Accepted Answer

A)  Schizophrenia 
B)  Eating disorder 
C)  Traumatic brain injury 
D)  Oppositional defiant disorder 
E)  Posttraumatic stress disorder 
A)  Schizophrenia 
B)  Eating disorder 
C)  Traumatic brain injury 
D)  Oppositional defiant disorder 
E)  Posttraumatic stress disorder

Question 2

Which understanding about individuals who attempt suicide will help a nurse plan the care for a suicidal patient? Every suicidal person should be considered:

Accepted Answer

A)  mentally ill. 
B)  intent on dying. 
C)  cognitively impaired. 
D)  experiencing hopelessness. 
A)  mentally ill. 
B)  intent on dying. 
C)  cognitively impaired. 
D)  experiencing hopelessness.

Question 3

A person intentionally overdoses on antidepressant drugs. Which nursing diagnosis has the highest priority?

Accepted Answer

A)  Powerlessness 
B)  Social isolation 
C)  Risk for suicide 
D)  Ineffective management of the therapeutic regimen 
A)  Powerlessness 
B)  Social isolation 
C)  Risk for suicide 
D)  Ineffective management of the therapeutic regimen

Question 4

A nurse assesses five newly hospitalized patients. Which patients have the highest suicide risk? (Select all that apply.)

Accepted Answer

A)  82-year-old white man 
B)  17-year-old white female adolescent 
C)  39-year-old African-American man 
D)  29-year-old African-American woman 
E)  22-year-old man with a traumatic brain injury 
A)  82-year-old white man 
B)  17-year-old white female adolescent 
C)  39-year-old African-American man 
D)  29-year-old African-American woman 
E)  22-year-old man with a traumatic brain injury

Question 5

A nurse counsels a patient with recent suicidal ideation. Which is the nurse's most therapeutic comment?

Accepted Answer

A)  "Let's make a list of all your problems and think of solutions for each one." 
B)  "I'm happy you're taking control of your problems and trying to find solutions." 
C)  "When you have bad feelings, try to focus on positive experiences from your life." 
D)  "Let's consider which problems are most important and which are less important." 
A)  "Let's make a list of all your problems and think of solutions for each one." 
B)  "I'm happy you're taking control of your problems and trying to find solutions." 
C)  "When you have bad feelings, try to focus on positive experiences from your life." 
D)  "Let's consider which problems are most important and which are less important."

Question 6

The parents of identical twins ask a nurse for advice. One twin committed suicide a month ago. Now the parents are concerned that the other twin may also have suicidal tendencies. Which comment by the nurse is accurate?

Accepted Answer

A)  "Genetics are associated with suicide risk. Monitoring and support are important." 
B)  "Apathy underlies suicide. Instilling motivation is the key to health maintenance." 
C)  "Your child is unlikely to act out suicide when identifying with a suicide victim." 
D)  "Fraternal twins are at higher risk for suicide than identical twins." 
A)  "Genetics are associated with suicide risk. Monitoring and support are important." 
B)  "Apathy underlies suicide. Instilling motivation is the key to health maintenance." 
C)  "Your child is unlikely to act out suicide when identifying with a suicide victim." 
D)  "Fraternal twins are at higher risk for suicide than identical twins."

Question 7

A nurse assesses a patient who reports a 3-week history of depression and crying spells. The patient says, "My business is bankrupt, and I was served with divorce papers." Which subsequent statement by the patient alerts the nurse to a concealed suicidal message?

Accepted Answer

A)  "I wish I were dead." 
B)  "Life is not worth living." 
C)  "I have a plan that will fix everything." 
D)  "My family will be better off without me." 
A)  "I wish I were dead." 
B)  "Life is not worth living." 
C)  "I have a plan that will fix everything." 
D)  "My family will be better off without me."

Question 8

A person attempts suicide by overdose, is treated in the emergency department, and then hospitalized. What is the best initial outcome? The patient will:

Accepted Answer

A)  verbalize a will to live by the end of the second hospital day. 
B)  describe two new coping mechanisms by the end of the third hospital day. 
C)  accurately delineate personal strengths by the end of first week of hospitalization. 
D)  exercise suicide self-restraint by refraining from gestures or attempts to kill self for 24 hours. 
A)  verbalize a will to live by the end of the second hospital day. 
B)  describe two new coping mechanisms by the end of the third hospital day. 
C)  accurately delineate personal strengths by the end of first week of hospitalization. 
D)  exercise suicide self-restraint by refraining from gestures or attempts to kill self for 24 hours.

Question 9

A staff nurse tells another nurse, "I evaluated a new patient using the modified SAD PERSONS scale and got a score of 10. I'm wondering if I should send the patient home." Select the best reply by the second nurse.

Accepted Answer

A)  "That action would seem appropriate." 
B)  "A score over 8 requires immediate hospitalization." 
C)  "I think you should strongly consider hospitalization for this patient." 
D)  "Give the patient a follow-up appointment. Hospitalization may be needed soon." 
A)  "That action would seem appropriate." 
B)  "A score over 8 requires immediate hospitalization." 
C)  "I think you should strongly consider hospitalization for this patient." 
D)  "Give the patient a follow-up appointment. Hospitalization may be needed soon."

Question 10

Which individual in the emergency department should be considered at the highest risk for completing suicide?

Accepted Answer

A)  An adolescent Asian-American girl with superior athletic and academic skills who has asthma 
B)  A 38-year-old single African-American female church member with fibrocystic breast disease 
C)  A 60-year-old married Hispanic man with 12 grandchildren who has type 2 diabetes 
D)  A 79-year-old single white man with cancer of the prostate gland 
A)  An adolescent Asian-American girl with superior athletic and academic skills who has asthma 
B)  A 38-year-old single African-American female church member with fibrocystic breast disease 
C)  A 60-year-old married Hispanic man with 12 grandchildren who has type 2 diabetes 
D)  A 79-year-old single white man with cancer of the prostate gland

Question 11

Four individuals have given information about their suicide plans. Which plan evidences the highest suicide risk?

Accepted Answer

A)  Jumping from a 100-foot-high railroad bridge located in a deserted area late at night 
B)  Turning on the oven and letting gas escape into the apartment during the night 
C)  Cutting the wrists in the bathroom while the spouse reads in the next room 
D)  Overdosing on aspirin with codeine while the spouse is out with friends 
A)  Jumping from a 100-foot-high railroad bridge located in a deserted area late at night 
B)  Turning on the oven and letting gas escape into the apartment during the night 
C)  Cutting the wrists in the bathroom while the spouse reads in the next room 
D)  Overdosing on aspirin with codeine while the spouse is out with friends

Question 12

Which intervention should a nurse recommend for the distressed family and friends of someone who has committed suicide?

Accepted Answer

A)  Participating in reminiscence therapy 
B)  Attending a self-help group for survivors 
C)  Contracting for two sessions of group therapy 
D)  Completing a psychological postmortem assessment 
A)  Participating in reminiscence therapy 
B)  Attending a self-help group for survivors 
C)  Contracting for two sessions of group therapy 
D)  Completing a psychological postmortem assessment

A nurse assesses the health status of soldiers returning from a war zone. Screening for which health problems will be a priority? (Select all that apply.)

Which understanding about individuals who attempt suicide will help a nurse plan the care for a suicidal patient? Every suicidal person should be considered:

A person intentionally overdoses on antidepressant drugs. Which nursing diagnosis has the highest priority?

A nurse assesses five newly hospitalized patients. Which patients have the highest suicide risk? (Select all that apply.)

A nurse counsels a patient with recent suicidal ideation. Which is the nurse's most therapeutic comment?

The parents of identical twins ask a nurse for advice. One twin committed suicide a month ago. Now the parents are concerned that the other twin may also have suicidal tendencies. Which comment by the nurse is accurate?

A nurse assesses a patient who reports a 3-week history of depression and crying spells. The patient says, "My business is bankrupt, and I was served with divorce papers." Which subsequent statement by the patient alerts the nurse to a concealed suicidal message?

A person attempts suicide by overdose, is treated in the emergency department, and then hospitalized. What is the best initial outcome? The patient will:

A staff nurse tells another nurse, "I evaluated a new patient using the modified SAD PERSONS scale and got a score of 10. I'm wondering if I should send the patient home." Select the best reply by the second nurse.

Which individual in the emergency department should be considered at the highest risk for completing suicide?

Four individuals have given information about their suicide plans. Which plan evidences the highest suicide risk?

Which intervention should a nurse recommend for the distressed family and friends of someone who has committed suicide?

Practicing the Science and Art of Psychiatric Nursing

Mental Health and Mental Illness

Theories and Therapies

Biological Basis for Understanding Psychopharmacology

Settings for Psychiatric Care

Legal and Ethical Basis for Practice

Nursing Process and QSEN: The Foundation for Safe and Effective Care

Communication Skills: Medium for All Nursing Practice

Therapeutic Relationships and the Clinical Interview

Trauma and Stress-Related Disorders

Anxiety, Anxiety Disorders, and Obsessive-Compulsive and Related Disorders

Somatic Symptom Disorders and Dissociative Disorders

Personality Disorders

Eating Disorders

Mood Disorders: Depression

Bipolar Spectrum Disorders

Schizophrenia Spectrum Disorders and Other Psychotic Disorders

Neurocognitive Disorders

Substance-Related and Addictive Disorders

Crisis and Mass Disaster

Child, Partner, and Elder Violence

Sexual Violence

Anger, Aggression, and Violence

Care for the Dying and Those Who Grieve

Children and Adolescents

Adults

Older Adults

Filters

Exam 23: Suicidal Thoughts and Behavior

A nurse assesses the health status of soldiers returning from a war zone. Screening for which health problems will be a priority? (Select all that apply.)

Which understanding about individuals who attempt suicide will help a nurse plan the care for a suicidal patient? Every suicidal person should be considered:

A person intentionally overdoses on antidepressant drugs. Which nursing diagnosis has the highest priority?

A nurse assesses five newly hospitalized patients. Which patients have the highest suicide risk? (Select all that apply.)

A nurse counsels a patient with recent suicidal ideation. Which is the nurse's most therapeutic comment?

The parents of identical twins ask a nurse for advice. One twin committed suicide a month ago. Now the parents are concerned that the other twin may also have suicidal tendencies. Which comment by the nurse is accurate?

A nurse assesses a patient who reports a 3-week history of depression and crying spells. The patient says, "My business is bankrupt, and I was served with divorce papers." Which subsequent statement by the patient alerts the nurse to a concealed suicidal message?

A person attempts suicide by overdose, is treated in the emergency department, and then hospitalized. What is the best initial outcome? The patient will:

A staff nurse tells another nurse, "I evaluated a new patient using the modified SAD PERSONS scale and got a score of 10. I'm wondering if I should send the patient home." Select the best reply by the second nurse.

Which individual in the emergency department should be considered at the highest risk for completing suicide?

Four individuals have given information about their suicide plans. Which plan evidences the highest suicide risk?

Which intervention should a nurse recommend for the distressed family and friends of someone who has committed suicide?

Practicing the Science and Art of Psychiatric Nursing

Mental Health and Mental Illness

Theories and Therapies

Biological Basis for Understanding Psychopharmacology

Settings for Psychiatric Care

Legal and Ethical Basis for Practice

Nursing Process and QSEN: The Foundation for Safe and Effective Care

Communication Skills: Medium for All Nursing Practice

Therapeutic Relationships and the Clinical Interview

Trauma and Stress-Related Disorders

Anxiety, Anxiety Disorders, and Obsessive-Compulsive and Related Disorders

Somatic Symptom Disorders and Dissociative Disorders

Personality Disorders

Eating Disorders

Mood Disorders: Depression

Bipolar Spectrum Disorders

Schizophrenia Spectrum Disorders and Other Psychotic Disorders

Neurocognitive Disorders

Substance-Related and Addictive Disorders

Crisis and Mass Disaster

Child, Partner, and Elder Violence

Sexual Violence

Anger, Aggression, and Violence

Care for the Dying and Those Who Grieve

Children and Adolescents

Adults

Older Adults

Filters