A client with a history of repeated suicide attempts tells the nurse that he will accept a no-suicide contract. Which of the following does this behavior indicate to the nurse?
1. The client will not attempt to commit suicide again.
2. The client is tired of failing at suicide attempts.
3. The client and nurse have a strong therapeutic relationship.
4. The client is attempting to avoid detection of other suicide attempts.
4. The client is attempting to avoid detection of other suicide attempts.
Rationale:
People who are determined to kill themselves may agree to a contract to avoid detection of their suicidal intent. The client has a history of repeated suicide attempts. The willingness to accept a no-suicide contract could indicate that the client does not want the nurse to be aware of future suicide plans and will accept the contract just to avoid detection. Since the client has attempted suicide in the past, there is a strong likelihood that the client will attempt suicide in the future. There is no way of knowing if the client is tired of failing at suicide attempts or if the nurse and client have a strong therapeutic relationship.
You might also like to view...
The nurse assessing a cardiac monitor notes that the cardiac complexes each have a P wave followed by a QRS and a T. The rate is 120. The nurse recognizes this arrhythmia as:
a. sinus bradycardia. b. atrial fibrillation. c. sinus tachycardia. d. ventricular tachycardia.
When treating a postoperative patient's pain, the nurse should administer:
a. an analgesic before activity. b. PRN medications only when requested. c. analgesics only when requested by the family. d. analgesics only when requested by the patient.
The age range for an infant is defined as which of the following time spans?
a. newborn to 3 months c. 1 month to 1 year b. newborn to 6 months d. 3 months to 15 months
A child is diagnosed with hemolytic-uremic syndrome (HUS). Review of the child's laboratory test results would reveal which finding?
A) Decreased blood urea nitrogen (BUN) and creatinine B) Decreased platelets and leukocytosis C) Hypernatremia and hypokalemia D) Respiratory acidosis and proteinuria