A 40-year-old client was admitted to the psychiatric unit after a ...

[lak]

A 40-year-old client was admitted to the psychiatric unit after a suicide attempt in which he was found standing on the edge of a bridge. Statements made by the client that would lead the nurse to suspect a potential imminent suicide attempt include what?
 
  A) How often does the night personnel make rounds?
  B) When will I be discharged?
  C) I don't want to be alone just now.
  D) I'm bored. What's there to do around here?

Question 2

The primary nursing goal for a client who is admitted for suicidal ideation or attempt would be what?
 
  A) Assist him or her in the expression of sad and helpless feelings.
  B) Assess the cause of his or her depression.
  C) Develop rapport based on trust and understanding.
  D) Prevent self-destructive behavior.

[cloudre37]

Answer to Question 1

Ans: A
Asking about unit procedures, such as frequency of checks or rounds, is a cue to an individual's potential suicidal thinking.

Answer to Question 2

Ans: D
Preventing self-destructive behavior is the primary nursing goal. Other important goals, such as assisting the client in expressing feelings, assessing for causes of depression, and developing rapport, may be important for intervention after the primary goal of maintaining safety is met.