Exam 18: Intervention With a Suicidal Client

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?

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?

A client is newly admitted to an inpatient psychiatric unit. Which assessment data are critical in determining an increased risk for suicide?

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

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

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

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?

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

Which statement indicates that the nurse is acting as an advocate for a client who has recently made a suicide attempt?

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

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 stockbroker commits suicide after being convicted of insider trading. Which information should a nurse share with the grieving family?

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

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

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?

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 emotions should a nurse anticipate? (Select all that apply.)

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?