The nurse knows that basic suicide precautions may be started without a physician's order and maximum suicide precautions (or restrictions):
1. Need a physician's order and a psychiatric consult.
2. May be started on the recommendation of the psychiatric nurse.
3. Can be instituted without a physician's order only under emergency conditions.
4. Cannot be instituted without the client's consent.
3
Rationale: Most psychiatric inpatient units have developed a set of protocols or guidelines for observing and monitoring client behavior, often referred to as suicide precautions. Systems of observation may have three to six levels. Restrictions may require a physician's order but can and should be implemented on an emergency basis by nurses or other clinical staff. The client's consent is not required in an emergency.
You might also like to view...
Which statement made by a 7-year-old child with type 1 diabetes mellitus indicates a need for more teaching?
a. "My pancreas is sick and needs insulin until it is well." b. "I will need to take my insulin every day." c. "I need to keep a piece of candy in my pocket in case I start to feel shaky." d. "My mom has to give me insulin shots twice a day."
A pregnant patient at 12 weeks' gestation complains of yellow vaginal discharge. Laboratory tests reveal bacterial vaginosis. The clinician should recognize that bacterial vaginosis is:
A. A normal finding in pregnancy B. Associated with preterm labor and delivery C. Diagnosed by a nitrazine test D. Often accompanied by vaginal bleeding
The nurse changes the position of the client's endotracheal tube (ET). Which is a suitable nursing intervention?
1. Hold tube firmly in place at all times. 2. Insert nasal airway if client bites ET. 3. Leave some slack in tape holding ET. 4. Suction the client after providing care.
Which precaution is most important for the nurse to teach a patient who is prescribed an antacid?
a. "Avoid using extra pepper on your food while taking this drug." b. "If you become constipated, stop taking the antacid completely." c. "Take this drug at least 2 hours before or after taking any other drug." d. "Notify your prescriber if heartburn continues after you have taken the drug for 3 days."