Author Question: In planning care for a suicidal client, which correctly written outcome should be a nurse's first ... (Read 67 times)

SAVANNAHHOOPER23 · **on:** Jul 19, 2018

In planning care for a suicidal client, which correctly written outcome should be a nurse's first priority?

1. The client will not physically harm self.
2. The client will express hope for the future by day three.
3. The client will establish a trusting relationship with the nurse.
4. The client will remain safe during hospital stay.

Question 2

A nurse discovers a client's suicide note that details the time, place, and means to commit suicide. What should be the priority nursing action, and why?

1. Administer lorazepam (Ativan) prn, because the client is angry about plan exposure.
2. Establish room restrictions, because the client's threat is an attempt to manipulate the staff.
3. Place client on one-to-one suicide precautions, because specific plans likely lead to attempts.
4. Call an emergency treatment team meeting, because the client's threat must be addressed.

fromAlphatoOmega22 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

4
Rationale: The nurse's first priority should be that the client will remain safe during the hospital stay. Client safety should always be the nurse's first priority. Outcomes should be client-centered, specific, realistic, measureable, and must also include a time frame.

Answer to Question 2

3
Rationale: The priority nursing action should be to place this client on one-to-one suicide precautions, because the more specific the plan, the more likely the client will attempt suicide.