Which assessment question would be least likely to elicit ...

[jwb375]

Which assessment question would be least likely to elicit information relevant to suicidality?
 
  A) Have you had any thoughts about harming yourself?
  B) How many times have you threatened to kill yourself in the past but didn't act on it?
  C) Do you have a particular plan in mind?
  D) Do you have access to the means to carry out the plan?

Question 2

A patient reports, My brain is controlled by government agents who can trace my whereabouts and listen to my thoughts.. An appropriate nursing response to this information would be:
 
  a. Your story is very strange and too bizarre for me to believe..
  b. Tell me why you think your brain is being controlled by the government..
  c. Were you experiencing any stress just before you began to think your brain was being controlled?
  d. Are you feeling frightened or angry about the government violating your body and controlling your brain?

[olivia_paige29]

Answer to Question 1

B

Answer to Question 2

C
It is appropriate for the nurse to help the patient place the delusion in a time frame and to identify triggers that may be related to stress or anxiety.