A hospitalized client with a mood disorder is assessed to be high risk for suicide. The nurse should intervene by:
1. Encouraging repetitive discussions of suicidal ruminations.
2. Removing dangerous objects from the client's room.
3. Evaluating suicide intention every three days.
4. Using a strict regular schedule for client observation.
2
Rationale: The nurse is ensuring safety by removing dangerous objects from the client's room. Using a strict regular schedule for client observation allows the client to predict when staff will not be present. Evaluating suicide intention every three days does not capture the impulsivity of self-directed violence. It should be evaluated every shift. Encouraging repetitive discussions of suicidal ruminations reinforces the preoccupation with suicidal ideation.
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a. True b. False
What would you teach Y.L. about neuropathy?
What will be an ideal response?