An adolescent who is in a mental health treatment center reveals ...

[lb_gilbert]

An adolescent who is in a mental health treatment center reveals a suicidal plan to a peer. When questioned about this by the nurse, the adolescent says, I was just kidding. The BEST response by the nurse is which of the following responses?
 
  a. Your treatment team takes remarks about committing suicide very seriously, so there are logical consequences that are for your protection.
  b. You will be excused for making this remark this time, but next time, you may be taken seriously.
  c. No problem, as we all make remarks that we don't mean. However, you need to learn to think before you talk.
  d. Let's check with your peer group to see if they think you are serious and should be put on suicidal observation.

Question 2

You are assigned to work with a client who has psychosis. In your assessment of this client, you would assess for one or more of three phenomena that are characteristic of psychosis.
 
  These three phenomena of psychosis include disordered thought and which of the following phenomena? a. delusions and hallucinations
  b. illusions and confusions
  c. tangentiality and circumstantiality
  d. bizarreness and aggression

[todom5090]

Answer to Question 1

A
The nurse's response that the treatment team takes remarks about committing suicide very seriously is the most appropriate response to the adolescent. Nurses who work with adolescents must be comfortable in talking with them about the possibility of suicide and in responding seriously to any indications that the adolescent might give. It is a mistake to reassure the individual that everything will turn out all right.

Answer to Question 2

A
Psychosis is characterized by disordered thoughts, hallucinations, and delusions. Hallucinations are the misinterpretation of the environment without sensory input, and delusions are false fixed ideas or beliefs.