Author Question: A client with suicidal impulses is placed on the most stringent level of suicide precautions. The ... (Read 15 times)

ahriuashd · **on:** Jul 19, 2018

A client with suicidal impulses is placed on the most stringent level of suicide precautions.

The
measures the nurse caring for the client should incorporate into the plan of care include (more than
one answer may be correct)
A. maintaining arm-length, one-on-one nursing observation around the clock.
B. allowing no glass or metal on meal trays.
C. keeping client within visual range while he or she is awake. Check every 15 to 30 minutes while
the client is sleeping.
D. checking client whereabouts every 15 minutes and make frequent verbal contacts.
E. checking whereabouts every hour. Make verbal contact at least three times each shift.
F. removing all potentially harmful objects from the client's possession.

Question 2

In planning client education relating to coping with stents inserted to treat coronary disease, the
nurse should include (more than one answer may be correct)

A. specific information about the client's condition.
B. caution to keep a tight rein on expression of emotions.
C. the need to self-monitor for anxiety and depression.
D. the need to adhere to good general health practices.

dudman123 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A, B, F
Rationale: One-on-one observation is necessary for anyone who has limited control over suicidal
impulses. Plastic dishes on trays and the removal of potentially harmful objects from the client's
possession are measures included in any level suicide precautions. The other options are seen in less
stringent levels of suicide precautions.

Answer to Question 2

A, C, D
Rationale: Option A: Knowledge reduces anxiety and allows the client to understand options and
make appropriate decisions. Option C: Self-assessment of mood and emotions allows the client to
seek help if depression or anxiety occur. Option D: Good health practices promote general health, a
sense of well-being, and a healthy immune system. Option B: Expressing feelings by sharing them
with a supportive person or writing a journal should be encouraged in the teaching sessions.