Nursing Interventions for Suicidal Clients, Exams of Nursing

The appropriate nursing interventions for clients experiencing suicidal ideation. It covers key topics such as prioritizing client safety, assessing suicidal risk, developing a plan for client safety, and implementing therapeutic group therapy. Guidance on nursing diagnoses, leadership styles, and group therapy configurations that are most effective in supporting suicidal clients. Additionally, it touches on the use of electroconvulsive therapy (ect) and the associated nursing considerations. Overall, this document offers valuable insights for nurses working with clients who are at risk of suicide, equipping them with the knowledge and strategies to provide comprehensive, evidence-based care.

Typology: Exams

2023/2024

Available from 08/26/2024

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(Pharmacology NURS 300) 300 Final Exam Practice
Questions with complete solutions
1. A nurse discovers a clients 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. Administering lorazepam (Ativan) prn, because the client is
angry about the discovery of the note
B. Establishing room restrictions, because the clients threat is an
attempt to manipulate the staff
C. Placing this client on one-to-one suicide precautions, because
the more specific the plan, the more likely the client will attempt
suicide
D. Calling an emergency treatment team meeting, because the
clients threat must be addressed
C. Placing this client on one-to-one suicide precautions, because
the more specific the plan, the more likely the client will attempt
suicide
2. During the planning of care for a suicidal client, which
correctly written outcome should be a nurses first priority?
A. The client will not physically harm self.
B. The client will express hope for the future by day 3.
C. The client will establish a trusting relationship with the nurse.
D. The client will remain safe during the hospital stay.
D. The client will remain safe during the hospital stay.
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(Pharmacology NURS 300) 300 Final Exam Practice

Questions with complete solutions

  1. A nurse discovers a clients 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. Administering lorazepam (Ativan) prn, because the client is angry about the discovery of the note B. Establishing room restrictions, because the clients threat is an attempt to manipulate the staff C. Placing this client on one-to-one suicide precautions, because the more specific the plan, the more likely the client will attempt suicide D. Calling an emergency treatment team meeting, because the clients threat must be addressed C. Placing this client on one-to-one suicide precautions, because the more specific the plan, the more likely the client will attempt suicide
  2. During the planning of care for a suicidal client, which correctly written outcome should be a nurses first priority? A. The client will not physically harm self. B. The client will express hope for the future by day 3. C. The client will establish a trusting relationship with the nurse. D. The client will remain safe during the hospital stay. D. The client will remain safe during the hospital stay.
  1. 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 nurses priority intervention at this time? A. Obtaining an order for locked seclusion until client is no longer suicidal B. Conducting 15-minute checks to ensure safety C. Placing the client on one-to-one observation while monitoring suicidal ideations D. Encouraging client to express feelings related to suicide C. Placing the client on one-to-one observation while monitoring suicidal ideations
  2. 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 nurses priority at this time? A. Give the client off-unit privileges as positive reinforcement. B. Encourage the client to share mood improvement in group. C. Increase frequency of client observation. D. Request that the psychiatrist reevaluate the current medication protocol. C. Increase frequency of client observation.
  3. A nurse recently admitted a client to an inpatient unit after a suicide attempt. A health-care provider orders amitriptyline

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 D. Able to participate in a plan for safety; family agrees to constant observation

  1. 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? A. Address only serious suicide threats to avoid the possibility of secondary gain. B. Promote trust by verbalizing a promise to keep suicide attempt information within the family. C. Offer a private environment to provide needed time alone at least once a day. D. Be available to actively listen, support, and accept feelings. D. Be available to actively listen, support, and accept feelings.
  2. A stockbroker commits suicide after being convicted of insider trading. In speaking with the family, which statement by the nurse demonstrates accurate and appropriate sharing of information? A. Your grieving will subside within 1 year; until then I recommend antidepressants.

B. Support groups are available specifically for survivors of suicide, and I would be glad to help you locate one in this area. C. The only way to deal effectively with this kind of grief is to write a letter to the brokerage firm to express your anger with them. D. Since stigmatization often occurs in these situations, it would be best if you avoid discussing the suicide with anyone. B. Support groups are available specifically for survivors of suicide, and I would be glad to help you locate one in this area.

  1. After years of dialysis, an 84-year-old states, Im exhausted, depressed, and done with these attempts to keep me alive. Which question should the nurse ask the spouse when preparing a discharge plan of care? A. Have there been any changes in appetite or sleep? B. How often is your spouse left alone? C. Has your spouse been following a diet and exercise program consistently? D. How would you characterize your relationship with your spouse? B. How often is your spouse left alone?
  2. A nursing instructor is teaching about suicide in the elderly population. Which information should the instructor include? 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. Things will look better in the morning. D. It sounds like you are feeling pretty hopeless. D. It sounds like you are feeling pretty hopeless.

  1. A new nursing graduate asks the psychiatric nurse manager how to best classify suicide. Which is the nurse managers best reply? A. Suicide is a DSM-5 diagnosis. B. Suicide is a mental disorder. C. Suicide is a behavior. D. Suicide is an antisocial affliction C. Suicide is a behavior.
  2. A nursing student is developing a plan of care for a suicidal client. Which documented intervention should the student implement first? A. Communicate therapeutically. B. Observe the client. C. Provide a hazard-free environment. D. Assess suicide risk. D. Assess suicide risk.
  3. Which is a correctly written, appropriate outcome for a client with a history of suicide attempts who is currently exhibiting symptoms of low self-esteem by isolating self? A. The client will not physically harm self.

B. The client will express three positive self-attributes by day 4. C. The client will reveal a suicide plan. D. The client will establish a trusting relationship B. The client will express three positive self-attributes by day 4. We have an expert-written solution to this problem!

  1. A nursing instructor is teaching about suicide. Which student statement indicates that learning has occurred? A. Suicidal threats and gestures should be considered manipulative and/or attention-seeking. B. Suicide is the act of a psychotic person. C. All suicidal individuals are mentally ill. D. Fifty to eighty percent of all people who kill themselves have a history of a previous attempt. D. Fifty to eighty percent of all people who kill themselves have a history of a previous attempt.
  2. A nurse is caring for four clients diagnosed with major depressive disorder. When considering each clients belief system, the nurse should conclude which client would potentially be at highest risk for suicide? A. Roman Catholic B. Protestant

B. A mood rating of 9/ C. Disclosing a plan for suicide to staff D. Expressing feelings of hopelessness to nurse C. Disclosing a plan for suicide to staff We have an expert-written solution to this problem!

  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? A. I must observe you continually for 1 hour in order to keep you safe. B. Lets 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? B. Lets confer with the treatment team about the resources that you may need after discharge.
  2. A client is newly admitted to an inpatient psychiatric unit. Which of the following is most critical to assess when determining risk for suicide? A. Family history of depression B. The clients orientation to reality

C. The clients history of suicide attempts D. Family support systems C. The clients history of suicide attempts

  1. 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? A. Assessing the clients 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 nurseclient relationship A. Assessing the clients pulse oximetry and vital signs
  2. 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. A. I cant believe this is happening. B. If only I had been more understanding. C. How dare he do this to me! D. Im just going to have to accept that he was gay. E. Well, that was a selfish thing to do.
  1. During a therapeutic group, a client talks about personal accomplishments in an effort to gain attention. Which group role, assumed by this client, should the nurse identify? A. The task role of gatekeeper B. The individual role of recognition seeker C. The maintenance role of dominator D. The task role of elaborator B. The individual role of recognition seeker
  2. During a therapeutic group, two clients engage in an angry verbal exchange. The nurse leader interrupts the exchange and excuses both of the clients from the group. The nurse has demonstrated which leadership style? A. Autocratic B. Democratic C. Laissez-faire D. Bureaucratic A. Autocratic
  3. During a therapeutic group, which nursing action demonstrates a laissez-faire leadership style? A. The nurse mandates that all group members reveal an embarrassing personal situation. B. The nurse asks for a show of hands to determine group topic preference. C. The nurse sits silently as the group members stray from the assigned topic.

D. The nurse shuffles through papers to determine the facility policy on length of group. C. The nurse sits silently as the group members stray from the assigned topic.

  1. During a community meeting, a nurse encourages clients to present unit problems and discuss possible solutions. Which type of leadership style is the nurse demonstrating? A. Democratic B. Autocratic C. Laissez-faire D. Bureaucratic A. Democratic
  2. Which situation should a nurse identify as an example of an autocratic leadership style? A. The president of Sigma Theta Tau assigns members to committees to research problems. B. Without faculty input, the dean mandates that all course content be delivered via the Internet. C. During a community meeting, a nurse listens as clients generate solutions. D. The student nurses association advertises for candidates for president. B. Without faculty input, the dean mandates that all course content be delivered via the Internet.
  1. During a group discussion, members freely interact with each other. Which member statement is an example of Yaloms curative group factor of imparting information? A. I found a Web site explaining the different types of brain tumors and their treatment. B. My brother also had a brain tumor and now is completely cured. C. I understand your fear and will be by your side during this time. D. My mother was also diagnosed with cancer of the brain. A. I found a Web site explaining the different types of brain tumors and their treatment.
  2. Prayer group members at a local Baptist church are meeting with a poor, homeless family they are supporting. Which member statement is an example of Yaloms curative group factor of altruism? A. Ill give you the name of a friend that rents inexpensive rooms. B. The last time we helped a family, they got back on their feet and prospered. C. I can give you all of my baby clothes for your little one. D. I can appreciate your situation. I had to declare bankruptcy last year. A. Ill give you the name of a friend that rents inexpensive rooms.
  1. During an inpatient educational group, a client shouts out, This information is worthless. Nothing you have said can help me. These statements indicate to the nurse leader that the client is assuming which group role? A. The group role of aggressor B. The group role of initiator C. The group role of gatekeeper D. The group role of blocker A. The group role of aggressor
  2. A nurse believes that the members of a parenting group are in the initial, or orientation, phase of group development. Which group behaviors would support this assumption? A. The group members manage conflict within the group. B. The group members use denial as part of the grief response. C. The group members compliment the leader and compete for the role of recorder. D. The group members initially trust one another and the leader. C. The group members compliment the leader and compete for the role of recorder.
  3. During a group session, which client statement demonstrates that the group has progressed to the middle, or working, phase of group development? A. Its hard for me to tell my story when Im not sure about the reactions of others. B. I think Joes Antabuse suggestion is a good one and might

popularity is waning. C. These groups have no external regulation, so clients need to be cautious. D. Members themselves run the group, with leadership usually rotating among the members. D. Members themselves run the group, with leadership usually rotating among the members.

  1. The nurse should utilize which group function to help an extremely withdrawn, paranoid client increase feelings of security? A. Socialization B. Support C. Empowerment D. Governance B. Support
  2. When planning group therapy, a nurse should identify which configuration as most optimal for a therapeutic group? A. Open-ended membership; circle of chairs; group size of 5 to 10 members B. Open-ended membership; chairs around a table; group size of 10 to 15 members C. Closed membership; circle of chairs; group size of 5 to 10 members D. Closed membership; chairs around a table; group size of 10 to 15 members

C. Closed membership; circle of chairs; group size of 5 to 10 members We have an expert-written solution to this problem!

  1. During the sixth week of a 10-week parenting skills group, a nurse observes as several members get into a heated dispute about spanking. As a group, they decide to create a pros-and- cons poster on the use of physical discipline. At this time, what is the role of the group leader? A. To referee the debate B. To adamantly oppose physical discipline measures C. To redirect the group to a less controversial topic D. To encourage the group to solve the problem collectively D. To encourage the group to solve the problem collectively
  2. A 10-week, prenuptial counseling group composed of five couples is terminating. At the last group meeting, a nurse notices that the two most faithful and participative couples are absent. When considering concepts of group development, what might explain this behavior? A. They are experiencing problems with termination, leading to feelings of abandonment. B. They did not think any new material would be covered at the last session.