Edwin Schneidman wrote about three factors affecting suicidal ...

[crobinson2013]

Edwin Schneidman wrote about three factors affecting suicidal ideation. These three factors included pain, perturbation, and which of the following factors?
 
  a. press
  b. distress
  c. depression
  d. biology

Question 2

A patient says, When I lost weight, everyone was so nice to me. Now that I've regained the weight, people don't want anything to do with me. They think I'm just a fat pig.. The nurse's initial response should be:
 
  a. It sounds as if your interpersonal relationships improved when you lost weight and now that you have regained the weight, you feel people don't want to be with you..
  b. Yes, there is a stigma about obesity. People are judged harshly for their weight..
  c. So, if you lose all the weight again do you think your relationships will improve?
  d. Do you really believe that your friends think that you are a fat pig'?

[essyface1]

Answer to Question 1

A
According to Schneidman, pain, perturbation, and press affect suicidal ideation. Press is a concept describing the various stresses or pressures on an individual. Pain is viewed as a psychological phenomenon but is unlikely to exclude physical pain. Perturbation means the amount of emotional distress reflected in the presence or absence of impulse control.

Answer to Question 2

A
The patient is cognitively distorting by externalizing self-worth. The most therapeutic communication is the one that summarizes the patient's viewpoint and reflects it back for the patient to hear in a nonjudgmental way.