A jilted college student is admitted to a hospital following a ...

[kfurse]

A jilted college student is admitted to a hospital following a suicide attempt and states, No one will ever love a loser like me.
 
   According to Erikson's theory of personality development, a nurse should recognize that this patient has a deficit in which developmental stage?1. Trust versus mistrust2. Initiative versus guilt3. Intimacy versus isolation4. Ego integrity versus despair

Question 2

A nurse recently admitted a client to an inpatient unit after a suicide attempt. A health-care provider orders amitriptyline (Elavil) for the client.
 
  Which intervention, related to this medication, should be initiated to maintain this client's safety upon discharge? 1. Provide a 6-month supply of Elavil to ensure long-term compliance.
  2. Provide a 1-week supply of Elavil, with refills contingent on follow-up appointments.
  3. Provide pill dispenser as a memory aid.
  4. Provide education regarding the avoidance of foods containing tyramine.

[Loise Hard]

Answer to Question 1

3
Rationale: The nurse should recognize that the client who states, No one will ever love a loser like me has not adequately completed the intimacy versus isolation stage of development. The intimacy versus isolation stage is presumed to occur in young adulthood between the ages of 20 and 30 years. The major developmental task in this stage is to establish intense, lasting relationships or commitment to another person, cause, institution, or creative effort.

Answer to Question 2

2
Rationale: The health-care provider should provide no more than a 1-week supply of amitriptyline, with refills contingent on follow-up appointments, as an appropriate intervention to maintain the client's safety. Antidepressants, which are central nervous system depressants, can be used to commit suicide. Also these medications can precipitate suicidal thoughts during the initial use period. Limiting the amount of medication and monitoring the client weekly would be appropriate interventions to address the client's risk for suicide.