An adolescent girl tells the nurse that she has suicidal thoughts. The nurse asks her if she has a specific plan. Asking this should be considered:
a. An appropriate part of the assessment.
b. Not a critical part of the assessment.
c. Suggesting that the adolescent needs a plan.
d. Encouraging the adolescent to devise a plan.
ANS: A
Routine health assessments of adolescents should include questions that assess the presence of suicidal ideation or intent. Questions such as "Have you ever developed a plan to hurt yourself or kill yourself?" should be part of that assessment. Threats of suicide should always be taken seriously and evaluated. Suggesting that the adolescent needs a plan and encouraging her to devise this plan would be inappropriate statements by the nurse.
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