The nurse is planning care for a client who was admitted to the ...

[chads108]

The nurse is planning care for a client who was admitted to the hospital after threatening to harm himself when he was stopped by the police for speeding.
 
  He was intoxicated at the time of admission and was assessed as being depressed, anxious, and hostile. Which client outcome is the priority?
  1. Client will remain free from self-harm while hospitalized.
  2. Client will report suicidal ideation or desire to harm self to the physician.
  3. Client will accept referral to the hospital-based substance abuse program.
  4. Client will recognize unconscious intentions to harm self.

Question 2

The nurse working at the crisis center received a call from a client who stated he was depressed and wanted to die. Further investigation revealed that the client had within reach all of the items listed below that he could use to get the job done.&
 
  Which item would cause the nurse the most concern?
  1. Two bottles of Prozac
  2. A loaded gun
  3. A garden hose
  4. A bottle of an alcoholic beverage

[welcom1000]

Answer to Question 1

ANS: 1
The outcome is for the client to be free from self-harm. Options 2, 3, and 4 are actions that will support this outcome.

Answer to Question 2

ANS: 2
Using a firearm is a more lethal method of suicide than are medications, a garden hose, or a bottle of an alcoholic beverage. It does not allow time for rescue.