During the planning of care for a suicidal client, which ...

[clippers!]

During the planning of care for a suicidal client, which correctly written outcome should be a nurse's first priority?
 
  A. The client will not physically harm self.
  B. The client will express hope for the future by day 3.
  C. The client will establish a trusting relationship with the nurse.
  D. The client will remain safe during the hospital stay.

Question 2

A nurse discovers a client's suicide note that details the time, place, and means to commit suicide. What should be the priority nursing intervention and the rationale for this action?
 
  A. Administering lorazepam (Ativan) prn, because the client is angry about the discovery of the note
  B. Establishing room restrictions, because the client's threat is an attempt to manipulate the staff
  C. Placing this client on one-to-one suicide precautions, because the more specific the plan, the more likely the client will attempt suicide
  D. Calling an emergency treatment team meeting, because the client's threat must be addressed

[trampas]

Answer to Question 1

ANS: D
The nurse's priority should be that the client will remain safe during the hospital stay. Client safety should always be the nurse's priority. The A answer choice is incorrectly written. Correctly written outcomes must be client focused, measurable, and realistic and contain a time frame. Without a time frame, an outcome cannot be correctly evaluated.

Answer to Question 2

ANS: C
The priority nursing action should be to place this client on one-to-one suicide precautions, because the more specific the plan, the more likely the client will attempt suicide. The appropriate nursing diagnosis for this client would be risk for suicide.