After threatening to jump off of a bridge, a client is brought to an emergency department by police. To assess for suicide potential, which question should a nurse ask first?
1. Are you currently thinking about harming yourself?
2. Why do you want to harm yourself?
3. Have you thought about the consequences of your actions?
4. Who is your emergency contact person?
Question 2
A high school student has learned that she cannot graduate. Her boyfriend will be attending a college out of state that she planned to attend. She is admitted to a psychiatric unit after overdosing on Tylenol.
Which is the priority nursing diagnosis for this client? 1. Ineffective coping R/T situational crisis AEB powerlessness
2. Anxiety R/T fear of failure
3. Risk for self-directed violence R/T hopelessness
4. Risk for low self-esteem R/T loss events AEB suicidal ideations