A suicidal client tells the nurse, There's no other way out for ...

[asan beg]

A suicidal client tells the nurse, There's no other way out for me. I have so many problems that there's nothing to do but cash it in. Which statement by the nurse would be a helpful approach?
 
  1. I can see that things are bad. It's good you recognized your limitations.
  2. Let's look at the problem you consider most urgent to see if there's a solution.
  3. We'll begin problem solving together as soon as you stop feeling suicidal.
  4. Your thinking is depressed. We can teach you to think differently.

Question 2

To be maximally helpful to a newly admitted suicidal client on days 1 and 2 of hospitalization, the nurse will need the ability to:
 
  1. Select appropriate community resources for referral
  2. Identify client areas of weakness and deficiency
  3. Tolerate expressions of client psychologic pain
  4. Refute delusional thinking by logical argument

[tsternbergh47]

Answer to Question 1

ANS: 2
Option 2 is correct because the most effective intervention is to help the client prioritize problems and work on them one at a time. Option 1 is incorrect, since it affirms the negative, and option 3 is incorrect, since it places unrealistic demands on the client. Option 4 does not deal with the cli-ent's statement about problems.

Answer to Question 2

ANS: 3
With a newly admitted client, listening to expressions of pain will be one of the first interven-tions for the nurse, so option 3 is correct. Option 1 is incorrect, since it is too soon to consider community resources. Option 2, identifying weaknesses, is not a helpful intervention for a sui-cidal client, and option 4 is incorrect, since there are no data concerning delusional thinking.

[asan beg]

Gracias!

[phuda]

Excellent