An indicator that the suicidal patient is exercising suicide ...

[joesmith1212]

An indicator that the suicidal patient is exercising suicide self-restraint is:
 
  a. adherence to antidepressant therapy.
  b. agreeing to sign a no-suicide contract.
  c. disclosing a plan for suicide to staff.
  d. expressing feelings of hopelessness to the nurse.

Question 2

A nurse can best address factors of critical importance to successful community treatment, including making assessments relative to: (Select all that apply.)
 
  a. housing adequacy and stability.
  b. income adequacy and stability.
  c. family and other support systems.
  d. early psychosocial development.
  e. substance abuse history and current use.

[fromAlphatoOmega22]

Answer to Question 1

C
Admitting a plan for suicide to staff is an indicator of self-restraint. By admitting that a plan exists, the patient enables staff to take appropriate measures to prevent the patient from carrying out the plan. Patients may comply with antidepressant therapy and still make suicide attempts and may sign no-suicide contracts, knowing they will make a later suicide attempt. Expressing hopelessness does not indicate suicide self-restraint.

Answer to Question 2

A, B, C, E
Early psychosocial developmental history is less relevant to successful outcomes in the community than the assessments listed in the other options. If a patient is homeless or fears homelessness, focusing on other treatment issues is impossible. Sufficient income for basic needs and medication is necessary. Adequate support is a requisite to community placement. Substance abuse undermines medication effectiveness and interferes with community adjustment.