A nurse determines that a client is at imminent risk for suicide. ...

[acc299]

A nurse determines that a client is at imminent risk for suicide. Which of the following would be least appropriate to include in the client's plan of care?
 
  A) Listening intently and nonjudgmentally
  B) Validating the client's feelings and experience
  C) Instituting strict restriction on the client's activity
  D) Using cognitive interventions to foster hope

Question 2

A client who has attempted suicide has an underlying diagnosis of depression. Which of the following would the nurse anticipate being ordered for the client?
 
  A) Selective serotonin reuptake inhibitor
  B) Mood stabilizer
  C) Tricyclic antidepressant
  D) Atypical antipsychotic

[emsimon14]

Answer to Question 1

Ans: C
There are three urgent priorities for care of a person who is at imminent risk for suicide: (1) reconnecting the client to other people and instilling hope, (2) restoring emotional stability and reducing suicidal behavior, and (3) ensuring safety. Reconnecting the client interpersonally includes listening intently and without judgment to the client's thoughts and feelings, and validating the client's experience and suffering. This intervention directly challenges the client's belief that no one cares. Using cognitive interventions can help the client to regain hope. Restricting a client's activity can be very upsetting. Rather, the nurse should reduce the client's stress while ensuring safety by intruding as little as possible on the client's exercise of free will.

Answer to Question 2

Ans: A
Medication management focuses on treating the underlying psychiatric disorder. For depression, a nonlethal antidepressant (e.g., selective serotonin reuptake inhibitor) usually is prescribed. For clients with schizophrenia and schizoaffective disorder, antipsychotics may be used; however, only clozapine, an atypical antipsychotic, has been shown to be effective.

[acc299]

Thank you

[emsimon14]

No problemo