Which of the following nursing activities would BEST represent ...

[tiffannnnyyyyyy]

Which of the following nursing activities would BEST represent primary prevention of suicide?
 
  a. discussion with clients who are suicidal about the impact of suicide on their families
  b. getting clients with suicidal ideation to list reasons to live
  c. educating persons with depression about suicide
  d. educating the general public about suicide

Question 2

A patient's contract to be taken outside for a fresh air break after meals has been unavoidably postponed.
 
  The patient says, I've waited patiently for 2 hours, and now I want to stay outside for an extra 10 minutes An appropriate response from the nurse would be: a. I'm sorry but you will have to wait. You know that as adults we don't always get what we want when we want it..
  b. I'll arrange to have someone take you after lunch, and you can stay out for as long as you like if you'll just wait patiently..
  c. You are quite right. Thank you for being so patient. Someone will come right now and take you outside for your break..
  d. Please show a little consideration; we've been very busy handling other patients' problems. You would understand if it were you with the problem..

[iceage]

Answer to Question 1

D
Educating the general public about suicide is an example of primary prevention. Primary prevention describes preventive activities applied to the whole population, regardless of demonstrable risk factors. The other options deal with situations where a disease has already occurred and are not considered examples of primary prevention.

Answer to Question 2

C
Contracting is a two-way street. According to the situation presented in this question, the nurse already has received time and understanding from the patient. The nurse or another member of the staff needs to stop and provide the patient with the break time that has been contracted. It is not the patient's fault if the unit is busy, and the nurse who responds with anger or sarcasm is not being self-aware or mutually respectful of the patient.