Suicide Flashcards
Risk factors for suicide
Age, previous attempts, physical illness, substance abuse, psychiatric diagnosis, terminal progressive illness, incarceration, military combatants, marital status, sexual abuse, gender
How does alcohol factor into suicide?
It decreases decision making process
What is the most lethal method
A loaded gun
How do you know that they are ready for discharge
No thoughts of suicide, plans for the future, and support group to talk to
What short term goal has the highest priority for a client with depression admitted to an inpatient unit because of attempted suicide?
The client will seek out the nurse when feeling self destructive
What would be the best treatment for a client that tells a nurse they have suicidal thoughts everyday?
Intensive inpatient treatment
What short term goal should the nurse focus on for a client who makes statement about not deserving things?
Identify disordered thoughts
What instructions would a nurse include when teaching the family of a client with major depression
Explain that depression is an illness and can be treated
what intervention is most likely to promote a positive sense of self in a client with depression whose goal is enhancing self-esteem?
writing poetry or other engaging creative outlets will enhance self-esteem
An adolescent who is depressed and reported by his parents as having difficulty in school is brought to the community mental health center to be evaluated. What other problems would the nurse expect?
Behavioral difficulties. adolescent tend to demonstrate severe irritability and behavioral problems rather than simply depression
A client in an outpatient psychiatric famility is diagnosed with dysthymic disorder. What is true about dysthymic disorder?
It’s a mood disorder similar to major depression but of mild to moderate severity
What is the immediate nursing goal/outcome of suicide?
Prevent harm and ensure safety
What is the eventual nursing goal of suicide?
Decrease or eliminate client’s desire to commit suicide
A client suddenly feels better and is more cheerful following a month of antidepression medications. The nurse understands that:
The client remains at risk, may have enough energy to act out on suicidal ideations, and require further assessment
Nursing diagnosis for suicide
Spiritual distress, hopelessness, and Powerlessness
