The nurse is told by a client that she is having suicidal ...

[imanialler]

The nurse is told by a client that she is having suicidal thoughts. Which of the following interventions has lowest priority?
 
  A) Assessing the client for past history of suicidal attempts
  B) Determining the client's concerns and if she has a plan
  C) Administering a mental status exam to assess for psychosis
  D) Maintaining a safe, secure environment

Question 2

A client comes to the health clinic stating that he wants to kill himself. He has made an elaborate plan and has access to a weapon. His lifestyle is unstable, and he is disoriented at the present time.
 
  The nurse would assess high degree of suicide risk as which of the following?
 
  A) High
  B) Moderate
  C) Low
  D) No risk

[hanadaa]

Answer to Question 1

Ans: C
About 50 to 80 of people who commit suicide have previously attempted suicide; the more violent and lethal the plan, the higher the potential for suicide. Assessment of past attempts and current plan (not psychosis) as well as maintaining client safety would be priorities. Maintaining a safe, secure environment is an important intervention by the nurse to prevent a suicide attempt.

Answer to Question 2

Ans: A

This client has predominantly destructive resources, his lifestyle is unstable, and he is markedly disoriented, which is classified as a high suicide risk.

[imanialler]

Gracias!

[bulacsom]

Excellent