The nurse is answering phone calls at a local suicide prevention hotline. Which statement would be recognized as the greatest risk of suicide?
a. I just needed to talk to someone to keep myself from thinking silly thoughts about killing myself.
b. My parents aren't home and won't be back for 4 hours. That should be enough time for the pills to work. I've got a hundred of them.
c. My dad will be home first, so he'll find me. So I think I'll use his gun. I hope he didn't lock the cabinet.
d. My girlfriend is here with me. She told me to call because I was talking crazy about killing myself.
Question 2
A mother is concerned because her adolescent son is always in trouble for fighting at school and always seems to be angry. She mentions that her husband drinks a bit.
Which understanding will guide the nurse's response?
a.
The boy is displaying antisocial behavior and should be evaluated for mental illness.
b.
The boy is displaying one of the typical defense patterns of children of alcoholics and should receive immediate treatment.
c.
The mother is displaying her own anger with her husband's drinking, and she needs immediate intervention.
d.
The boy is only one member of the family affected by alcoholism, and all members should receive immediate intervention.
The patient and his family meet with the nurse to discuss progress on the patient care plan.
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