A nurse is completing an admission assessment of a young adult woman who has a history of depression, and who was brought to the hospital by her boyfriend. In response to the nurse's question regarding suicidal ideation,
the client discloses that she is thinking about killing herself. Which question would be most appropriate for the nurse to ask next?
A) "What does your boyfriend think about your desire to kill yourself?"
B) "What are your spiritual beliefs about suicide?"
C) "What will killing yourself accomplish?"
D) "What thoughts have you had about how you would kill yourself?"
Ans: D
Assessing for risk includes determining the seriousness of the suicidal ideation, degree of hopelessness, disorders, previous attempt(s), suicide planning and implementation, and availability and lethality of the suicide method. Risk assessment also includes the patient's resources, including coping skills and social supports, that can be used to counter suicidal impulses.
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