A newly admitted client with depression has been determined as suicidal and in need of one-to-one supervision. What is the best statement to inform the client of the plan of care?
1. "A staff member will be with you at all times to watch you for suicide gestures."
2. "On this unit, a staff member stays with each new admission for the first 24 hours."
3. "We are not sure you would be willing to tell a staff member if the urge to com-mit suicide becomes strong, so to prevent hospital liability someone will stay with you."
4. "We understand the impulse to attempt self-harm may be strong, so someone will stay with you to help you control the impulse."
ANS: 4
Option 1 is too threatening and intrusive. Option 2 is not true, and option 3 indicates that the staff is mostly worried about the hospital. Option 4 is caring and helpful and therefore correct.
You might also like to view...
A patient has been taught about the vaginal contraceptive ring. Which statement by the patient indicates that further teaching is needed?
A. "If it comes out at all, I need back-up contraception for a week." B. "The exact position of the ring is not vital for its function." C. "Using tampons is allowed with the vaginal contraceptive ring." D. "Vaginal contraceptive rings are about 96% effective."
Which is not connected with the nursing home reform mandated by a 1987 law?
a. RAI b. HIPAA c. MDS d. UG
What is the best explanation for why changes in blood pH reflect the adequacy of acid-base homeostatic mechanisms?
A. Body fluid pH is a measure of the blood hydrogen ion concentration, and the ac-id-base homeostatic mechanisms control this concentration. B. Body fluid pH is a measure of the blood bicarbonate concentration, and the ac-id-base homeostatic mechanisms control this concentration. C. When homeostatic mechanisms are functioning properly, the blood electrolyte concentrations are normal, as measured by pH. D. When body fluid pH is normal, acid-base homeostatic mechanisms are not needed.
Which of the following is the major effect of placental hormones?
A) Insulin resistance B) Increased tidal volume C) Relative hypercortisolism, which may trigger labor D) Decreased lower esophageal sphincter tone