The nurse is caring for a patient who is displaying hopelessness. The nurse wants to assess if the patient has any internal protective measures that could be used to assist the patient to overcome suicidal thoughts
Which question is most appropriate for this purpose?
1. "How well do you relate to others?"
2. "Do you request assistance when needed?"
3. "Do you have valued relationships with others?"
4. "How do you handle conflicts with others?"
Answer: 4
Explanation: Protective measures are factors that can help the individual to feel hopeful and worthy enough to begin problem solving, even when he or she feels that there are no answers to the presenting problem. There are internal and external protective measures. Internal factors are related to the ability to problem solve, think through conflict, and handle disputes without violence. The question, "How do you handle conflicts with others?" best assesses the presence of internal protective measures. The ability to relate to others, connect to family, and to request assistance address external, not internal, protective measures.
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