Author Question: The treatment team is making a discharge decision regarding a previously suicidal client. Which ... (Read 33 times)

haleyc112 · **on:** Jul 19, 2018

The treatment team is making a discharge decision regarding a previously suicidal client. Which client assessment information should a nurse recognize as contributing to the team's decision?

A. No previous admissions for major depressive disorder
B. Vital signs stable; no psychosis noted
C. Able to comply with medication regimen; able to problem-solve life issues
D. Able to participate in a plan for safety; family agrees to constant observation

Question 2

During a one-to-one session with a client, the client states, Nothing will ever get better, and Nobody can help me. Which nursing diagnosis is most appropriate for a nurse to assign to this client at this time?

A. Powerlessness R/T altered mood AEB client statements
B. Risk for injury R/T altered mood AEB client statements
C. Risk for suicide R/T altered mood AEB client statements
D. Hopelessness R/T altered mood AEB client statements

jojobee318 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: D
Participation in a plan of safety and constant family observation will decrease the risk for self-harm. All other answer choices are not directly focused on suicide prevention and safety.

Answer to Question 2

ANS: D
The client's statements indicate the problem of hopelessness. Prior to assigning either risk for injury or risk for suicide, a further evaluation of the client's suicidal ideations and intent would be necessary.