A client often asks what life would be like if he had never been born or if he were to die. Which is the client at risk for based on this data?
A) A suicide attempt
B) Suicide planning
C) A suicide threat
D) Suicidal ideation
Answer: D
Suicidal ideation is having thoughts of harming or killing oneself. A suicide is more serious than a casual statement of suicidal intent and is accompanied by other behavior changes, including mood swings, temper outbursts, a decline in school or work performance, personality changes, sudden or gradual withdrawal from friends, and other significant changes in attitude. A suicide attempt is a nonfatal, self-inflicted destructive act with explicit or inferred intent to die. The attempt may be thwarted by another individual or by circumstances, it may be planned to avoid serious injury, or it may be one in which the outcome depends on the circumstances and is not under the individual's control. A suicide plan is a decision to commit suicide and an identified method.
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The nurse is instructing a teenage patient with a tibia-fibula fracture that was treated with internal fixation and a long leg cast. He is anxious to know when the cast will be removed so that he can resume football practice. Which statement by the patient indicates a need for additional teaching?
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