Chapter 22: Suicide and Nonsuicidal Self Injury Flashcards
Which assessment statement(s) would be appropriate for a patient who may be suicidal? Select all that apply.
a. Inquiring about ideation is essential to a suicide assessment. When assessing for risk for suicide, nurses should be direct and open in their inquiries.
b. Inquiring about ideation is essential to a suicide assessment. When assessing for risk for suicide, nurses should be direct and open in their inquiries.
c. Inquiring about death’s holding an attraction for the patient (by relieving personal suffering or helping others) is essential to a suicide assessment.
d. Inquiring about ideation is essential to a suicide assessment. When assessing for risk for suicide, nurses should be direct and open in their inquiries.
e. Inquiring about plans is essential to a suicide assessment. When assessing for risk for suicide, nurses should be direct and open in their inquiries.
f. Inquiring about death’s holding an attraction for the patient (by relieving personal suffering or helping others) is essential to a suicide assessment.
A, B, C, D, E, F
Jon, 15 years old, asks the community health nurse what the greatest health risk for his age group is. How should the nurse respond?
a. Suicide is not the greatest health risk for this age group.
b. Substance abuse is not the greatest health risk for this age group.
c. Eating disorders are not the greatest health risk for this age group.
d. Research has shown that unintentional injuries (e.g., from motor vehicle collisions) are still the leading health risk for youths.
d. Research has shown that unintentional injuries (e.g., from motor vehicle collisions) are still the leading health risk for youths.
Ms. Rallyea, 58 years old, is admitted with severe clinical depression and started on antidepressant medications. Her mood has remained low and she has not initiated conversation. On her fifteenth day of hospitalization, she informs the nurse she is feeling great and energetic. What should the nurse do?
a. Further assessment is required to determine level of potential suicide risk.
b. A sudden improvement in mood in a deeply depressed person should alert the nurse to conduct an assessment because it can mean that the person has made a decision and now has the energy to take his or her own life.
c. The second or third week of antidepressant therapy is a time of increased risk for suicide because clients have increased energy but their depression is not resolved.
d. Further assessment is required before documentation.
b. A sudden improvement in mood in a deeply depressed person should alert the nurse to conduct an assessment because it can mean that the person has made a decision and now has the energy to take his or her own life.
A nurse has great difficulty distancing herself from the care of a client when she leaves work. What should the nurse do?
a. Compassion is not a component of maintaining professional boundaries. The nurse needs to recognize that there may be counter-transference issues.
b. The nurse needs to be able to reflect on her own values and identify how they impact the care that is given. Requesting a change in assignment is not appropriate.
c. Sharing her concern with the patient is not an appropriate strategy—the patient is not responsible for the nurse’s well-being.
d. Talking to a colleague can help the nurse become aware of what she is feeling and help her make the appropriate choices.
d. Talking to a colleague can help the nurse become aware of what she is feeling and help her make the appropriate choices.
