An important nursing intervention when giving care to a client withdrawing from a CNS stimulant is
to
a. make physical contact by frequently touching the client.
b. offer intellectual activities requiring concentration.
c. observe for depression and suicidal ideation.
d. avoid manipulation by denying all client requests.
Question 2
An 80-year old-woman who lives alone has begun calling friends and complaining in an exaggerated
fashion about minor aches and pains.
Her physician found no significant medical problems. Over the
course of a month, she obtained a number of prescriptions for pain medication, none of which
seemed to be effective. Friends counseled her that aches are a normal part of life for the elderly and
tried unsuccessfully to involve her in activities. She often suggested that she would be better off
dead, to which one friend responded Well, perhaps. It would get you out of your misery.. As she
became increasingly needy and demanding of attention, friends agreed that her behavior made
them uncomfortable and began to call and visit less. The woman took four pain pills and called a
neighbor, saying she had overdosed. After medical clearance, the client will be monitored at the
mental health clinic. Principles of paramount importance to care planning in this instance include
(more than one answer may be correct):
A. Parasuicide with lethal intent requires emergency hospitalization.
B. The client should be treated for underlying psychiatric disorder if one exists.
C. Client perception of isolation is a significant cause for hopelessness.
D. A nonlethal suicide attempt must be viewed as communication of the client's desperate state of
mind.