Author Question: The nurse knows that basic suicide precautions may be started without a physician's order and ... (Read 111 times)

jerry coleman · **on:** Jul 19, 2018

The nurse knows that basic suicide precautions may be started without a physician's order and maximum suicide precautions (or restrictions):

1. Need a physician's order and a psychiatric consult.
2. May be started on the recommendation of the psychiatric nurse.
3. Can be instituted without a physician's order only under emergency conditions.
4. Cannot be instituted without the client's consent.

Question 2

A client previously treated for insomnia with flurazepam (Dalmane) is being switched to eszopiclone (Lunesta).

How would the nurse explain the benefits of the newer nonbenzodiazepines as compared to the benzodiazepines for the treatment of insomnia? 1. Benzodiazepines do not induce sleep.
2. Nonbenzodiazepines lead to more withdrawal.
3. Nonbenzodiazepines trigger a rebound effect.
4. Nonbenzodiazepines do not produce as much hangover effect.

Anna · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

3
Rationale: Most psychiatric inpatient units have developed a set of protocols or guidelines for observing and monitoring client behavior, often referred to as suicide precautions. Systems of observation may have three to six levels. Restrictions may require a physician's order but can and should be implemented on an emergency basis by nurses or other clinical staff. The client's consent is not required in an emergency.

Answer to Question 2

4
Rationale: Nonbenzodiazepines are more rapidly eliminated and thus, produce minimal hangover effect. Benzodiazepines do induce sleep and can lead to tolerance and withdrawal symptoms. Rebound effect is more likely with the benzodiazepines than with the nonbenzodiazepines.