After assessing a client, you develop a nursing diagnosis of Risk for Suicide. Which of the following would be your highest priority intervention?
A) Communicate a desire to help the client.
B) Remove means of suicide from the client's access.
C) Determine the course of the client's suicidal thoughts.
D) Provide mood stabilizing medications per physician order.
Ans: B
Feedback:
Immediate interventions involve removing the means of suicide to reduce the risk of it happening. If the person is hospitalized, methods may include ensuring pills or medications are not available to clients or that they are not taking any measures to accumulate needed drugs. If in a community or home care setting, nurses may enlist the help of family or friends to remove the means and to provide immediate support.
You might also like to view...
What should nursing care of an infant with oral candidiasis (thrush) include?
a. Avoid use of a pacifier. b. Continue medication for the prescribed number of days. c. Remove the characteristic white patches with a soft cloth. d. Apply medication to the oral mucosa, being careful that none is ingested.
The hypothesis "A person's emotional status is not affected by a relocation to a nursing home" is:
A) Null B) Not correctly worded C) Directional D) Nondirectional
The nurse is planning educational sessions for a client regarding the use of a newly prescribed antiepileptic drug (AED). Which topics should be included in these sessions?
Standard Text: Select all that apply. 1. The client should take the medication at the same time every day. 2. If the client forgets a dose of medication, wait until the next dose is due and take both doses together. 3. The client should take an additional dose of medication upon experiencing a seizure aura. 4. If the client experiences side effects of the medication, the client should skip the next dose to see if the side effects lessen. 5. The client should avoid using dietary supplements containing kava when on this medication.
The nurse is planning a time schedule for a client's twice-daily postural drainage. Which time schedule would be best?
1. 0800 and 1100 2. 1200 and 1800 3. 0700 and 2000 4. 0900 and 2100