Author Question: A client who attempted to kill himself by overdosing on medications was hospitalized for 10 days. ... (Read 56 times)

RYAN BANYAN · **on:** Jul 19, 2018

A client who attempted to kill himself by overdosing on medications was hospitalized for 10 days. Which statement made by the client best indicates that he meets the criteria for discharge?

1. The next time I get depressed, I'll be careful who I tell.
2. I enjoy living alone and don't need to socialize.
3. I have a person I can call if I need something.
4. I do not feel like harming myself.

Question 2

The Emergency Department nurses were discussing a client who seeks help almost every holiday by expressing suicidal ideation or making a suicide gesture. One of the nurses stated, I don't think he is serious about hurting himself.

Maybe we should not see him the next time he comes. Which response from the charge nurse is accurate in dealing with the client who may be using suicidal behavior as a ploy to enter the hos-pital?
1. Telling him we cannot see him may be the answer to stop this behavior.
2. Each episode must be individually evaluated, and all options must be explored.
3. He obviously needs the support he gets at the hospital.
4. We should avoid showing any warmth the next time he comes in.

dudman123 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: 4
Option 1 would cause concern that the client will hide suicidal intent, so this does not meet the criteria for discharge. Option 2 could cause concern that the client will become lonely. Option 3 is a neutral response. Only option 4 is a clear statement from the client that he is feeling more positive.

Answer to Question 2

ANS: 2
A client who has a history of suicide gestures or attempts is at greater risk for using this behavior style again. This is unsafe behavior that needs to be evaluated, so option 2 is correct. Options 1 and 4 are unprofessional. Option 3 may be an unwarranted assumption.