The nurse's priority intervention for a newly hospitalized ...

[neverstopbelieb]

The nurse's priority intervention for a newly hospitalized suicidal client is to:
 
  1. Obtain a no-suicide contract for the day.
  2. Have the client write a list of the client's weaknesses.
  3. Require the client to participate in the goals group.
  4. Request the client to describe previous stressors.

Question 2

What is the most therapeutic approach when caring for a client who has been the victim of domestic violence?
 
  1. Acknowledge the client's inability to change the situation.
  2. Do not ask direct questions about abuse as this will intimidate the client.
  3. Invite the abuser to the assessment session.
  4. Avoid pressuring the client to leave the abuser.

[ryansturges]

Answer to Question 1

1
Rationale: Obtaining a no-suicide contract for the day conveys to the client that the staff members want to maintain client safety. Requiring the client to participate in the goals group may be overwhelming for a newly admitted client. Writing a list of weaknesses may reinforce the client's suicidality. The focus should be on the here and now; current stressors are more important than previous stressors.

Answer to Question 2

4
Rationale: It may be more dangerous for the client to leave at this time, and the client may have to wait until an opportunity arises. The client should not be discouraged from working on preventing future violence. Having the abuser present may prevent the client from talking openly to the nurse. The nurse should ask direct questions.

[neverstopbelieb]

Gracias!

[Joy Chen]

TYSM