A client lists the following problems: "I have no sense of self-worth. I constantly think negative
thoughts about myself. I feel anxious and shaky all the time. Sometimes my mood is so low that I
think I want to go to sleep and never wake up.
". The nursing interventions that should be accorded
the highest priority relate to outcomes associated with
a. self-esteem.
b. anxiety self-control.
c. depression self-control.
d. suicide self-restraint.
ANS: D
The nurse would place a priority on monitoring and reinforcing suicide self-restraint because it
relates directly and immediately to client safety. Client safety is always a priority concern. The nurse
would also be expected to monitor and reinforce all client attempts to control anxiety, control
depression, and develop self-esteem while giving priority attention to suicide self-restraint.
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