Nurse Amy is receiving a change-of-shift report on an inpatient ...

[EY67]

Nurse Amy is receiving a change-of-shift report on an inpatient psychiatric unit and learns that nurse Barbara on the previous shift negotiated a no-suicide contract with a client and increased the client's level of restriction to the unit.
 
  Nurse Amy's plan of care for the client is based on the understanding that these interventions indicate which of the following? a. The client has improved ability to control impulses.
  b. There is increased likelihood that the client will attempt self-harm behaviors.
  c. Eventual completed suicide by this client is inevitable.
  d. The client is simulating discharge conditions on a trial basis.

Question 2

A nurse identifies that a client is in Phase 3 of the developmental stages of a crisis. Which symptoms should the nurse anticipate when caring for this client?
 
  A) The individual may try to view the problem from a different perspective, or even to overlook certain aspects of it.
  B) Cognitive functions are disordered, emotions are labile, and behavior may reflect the presence of psychotic thinking.
  C) The client has developed anxiety.
  D) Feelings of confusion and disorganization prevail.

[gstein359]

Answer to Question 1

B
Drew (2001) studied the use of no-suicide contracts in psychiatric inpatients units and found that clients with no-suicide contracts in and with higher levels of ward restrictions on the unit had a higher likelihood of self-harm behaviors. This research indicates that in the inpatient setting, negotiations of a contract are probably a reflection of staff assessment that the client risk of self-harm was higher.

Answer to Question 2

A

[EY67]

Correct answers!

[gstein359]

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