Question 1

A college student who attempted suicide by overdose was hospitalized. When the parents were contacted, they responded, "We should have seen this coming. We did not do enough." The parents' reaction reflects which of the following?

Accepted Answer

A)   Guilt
B)   Denial
C)   Shame
D)   Rescue feelingsE) A) and D)
F) B) and C)

Question 2

Which statement by a depressed patient will alert the nurse to the patient's need for immediate, active intervention?

Accepted Answer

A)   "I am mixed up, but I know I need help."
B)   "I have no one to turn to for help or support."
C)   "It is worse when you are a person of colour."
D)   "I tried to get attention before I cut myself last time."E) A) and C)
F) A) and B)

Question 3

A person who attempted suicide by overdose was treated in the emergency department and then hospitalized. The initial outcome is that the patient will do which of the following?

Accepted Answer

A)   Verbalize a will to live by the end of the second hospital day
B)   Describe two new coping mechanisms by the end of the third hospital day
C)   Accurately delineate personal strengths by the end of the first week of hospitalization
D)   Refrain from attempts to harm self for 24 hoursE) A) and B)
F) A) and C)

Question 4

Which nursing interventions will be implemented for a patient who is actively suicidal? Select all that apply.

Accepted Answer

A)   Maintain arm's-length, one-on-one direct observation at all times.
B)   Check all items brought by visitors and remove risk items.
C)   Use plastic eating utensils; count utensils upon collection.
D)   Remove the patient's eyeglasses to prevent self-injury.
E)   Interact with the patient every 15 minutes.F) D) and E)
G) C) and E)

Question 5

A patient hospitalized for 2 weeks committed suicide during the night. Which initial nursing measure will be most important regarding this event?

Accepted Answer

A)   Ask the information technology manager to verify that the hospital information system is secure.
B)   Hold a staff meeting to express feelings and plan care for the other patients.
C)   Ask the patient's roommate not to discuss the event with other patients.
D)   Prepare a report of a sentinel event.E) B) and D)
F) A) and B)

Question 6

Four individuals have given information about their suicide plans. Which plan evidences the highest suicide risk?

Accepted Answer

A)   Turning on the oven and letting gas escape into the apartment during the night
B)   Cutting the wrists in the bathroom while the spouse reads in the next room
C)   Overdosing on aspirin with codeine while the spouse is out with friends
D)   Shooting in the head with a firearm that spouse keeps in the bedroomE) C) and D)
F) B) and D)

Question 7

After one of their identical twin daughters commits suicide, the parents express concern that the other twin may also have suicidal tendencies. Which reply should the nurse provide?

Accepted Answer

A)   "Genetics are associated with suicide risk. Monitoring and support are important."
B)   "Apathy underlies suicide. Instilling motivation is the key to health maintenance."
C)   "Your child is unlikely to act out suicide when identifying with a suicide victim."
D)   "Fraternal twins are at higher risk for suicide than identical twins."E) A) and B)
F) B) and C)

Question 8

Which intervention will the nurse recommend for the distressed family and friends of someone who has committed suicide?

Accepted Answer

A)   Participating in reminiscence therapy
B)   Psychological postmortem assessment
C)   Attending a self-help group for survivors
D)   Contracting for at least two sessions of group therapyE) A) and B)
F) A) and D) C

Question 9

A tearful, anxious patient at the outpatient clinic reports, "I should be dead." The initial task of the nurse conducting the assessment interview is to do which of the following?

Accepted Answer

A)   Assess lethality of suicide plan
B)   Encourage expression of anger
C)   Establish rapport with the patient
D)   Determine risk factors for suicideE) B) and D)
F) A) and C)

Question 10

What is the key element when the nurse is providing follow-up counselling to a patient that has been discharged to home following a suicide attempt?

Accepted Answer

A)   Maintain 24 hour observation.
B)   Administer antidepressant medication as ordered.
C)   Establish a working alliance to encourage realistic problem solving.
D)   Offer solutions to problems related to the stigma associated with a suicide attempt.E) B) and D)
F) B) and C) C

Question 11

A nurse counsels a patient with recent suicidal ideation. Which is the nurse's most therapeutic comment?

Accepted Answer

A)   "Let's make a list of all your problems and think of solutions for each one."
B)   "I'm happy you're taking control of your problems and trying to find solutions."
C)   "When you have bad feelings, try to focus on positive experiences from your life."
D)   "Let's consider which problems are very important and which are less important."E) A) and D)
F) A) and C)

Question 12

An adult outpatient diagnosed with major depression has a history of several suicide attempts by overdose. Given this patient's history and diagnosis, which antidepressant medication would the nurse expect to be prescribed?

Accepted Answer

A)   Amitriptyline (Elavil) , a sedating tricyclic medication
B)   Fluoxetine (Prozac) , a selective serotonin reuptake inhibitor
C)   Desipramine (Norpramin) , a stimulating tricyclic medication
D)   Tranylcypromine sulfate (Parnate) , a monoamine oxidase inhibitorE) A) and B)
F) B) and C) B

Question 13

The feeling experienced by a patient that should be assessed by the nurse as most predictive of elevated suicide risk is:

Accepted Answer

A)   Hopelessness
B)   Sadness
C)   Elation
D)   AngerE) A) and C)
F) B) and C)

Question 14

A nurse interacts with an outpatient who has a history of multiple suicide attempts. Select the most helpful response for a nurse to make when the patient states, "I am considering committing suicide."

Accepted Answer

A)   "I'm glad you shared this. Please do not worry. We will handle it together."
B)   "I think you should admit yourself to the hospital to keep you safe."
C)   "Bringing up these feelings is a very positive action on your part."
D)   "We need to talk about the good things you have to live for."E) None of the above
F) A) and D)

Question 15

A person intentionally overdosed on antidepressants. Which nursing diagnosis has the highest priority?

Accepted Answer

A)   Powerlessness
B)   Social isolation
C)   Risk for suicide
D)   Compromised family copingE) A) and D)
F) A) and C)

Question 16

A college student who failed two tests cried for hours and then tried to telephone a parent but got no answer. The student then gave several expensive sweaters to a roommate and asked to be left alone for a few hours. Which behaviour provides the strongest clue of an impending suicide attempt?

Accepted Answer

A)   Calling parents
B)   Excessive crying
C)   Remaining in a dorm room alone
D)   Giving away sweaters to her roommate.E) None of the above
F) A) and B)

Question 17

A depressed patient says, "Nothing matters anymore." What is the most appropriate response by the nurse?

Accepted Answer

A)   "Are you having thoughts of suicide?"
B)   "I am not sure I understand what you are trying to say."
C)   "Try to stay hopeful. Things have a way of working out."
D)   "Tell me more about what interested you before you became depressed."E) A) and B)
F) A) and C)

Question 18

A nurse assesses five newly hospitalized patients. Which patients have the highest suicide risk? Select all that apply.

Accepted Answer

A)   82-year-old White male
B)   17-year-old White female
C)   22-year-old Hispanic male
D)   19-year-old Inuit male
E)   39-year-old African Canadian maleF) A) and B)
G) A) and E)

Question 19

It has been 3 days since a suicidal patient was hospitalized and prescribed an antidepressant medication. The patient is now more talkative and shows increased energy. Select the highest priority nursing intervention.

Accepted Answer

A)   Supervise the patient 24 hours a day.
B)   Begin discharge planning for the patient.
C)   Refer the patient to art and music therapists.
D)   Consider discontinuation of suicide precautions.E) A) and B)
F) A) and C)

Question 20

A college student is extremely upset after failing two examinations. The student said, "No one understands how this will hurt my chances of getting into medical school." The student then suspends access to his social networking Web site and turns off his cell phone. Which suicide risk factors are evident? Select all that apply.

Accepted Answer

A)   Shame
B)   Panic attack
C)   Humiliation
D)   Self-imposed isolation
E)   Recent stressful life eventF) A) and E)
G) A) and D)

Exam 25: Suicide

A college student who attempted suicide by overdose was hospitalized. When the parents were contacted, they responded, "We should have seen this coming. We did not do enough." The parents' reaction reflects which of the following?

Correct Answer
verified

Which statement by a depressed patient will alert the nurse to the patient's need for immediate, active intervention?

Correct Answer
verified

A person who attempted suicide by overdose was treated in the emergency department and then hospitalized. The initial outcome is that the patient will do which of the following?

Correct Answer
verified

Which nursing interventions will be implemented for a patient who is actively suicidal? Select all that apply.

Correct Answer
verified

A patient hospitalized for 2 weeks committed suicide during the night. Which initial nursing measure will be most important regarding this event?

Correct Answer
verified

Four individuals have given information about their suicide plans. Which plan evidences the highest suicide risk?

Correct Answer
verified

After one of their identical twin daughters commits suicide, the parents express concern that the other twin may also have suicidal tendencies. Which reply should the nurse provide?

Correct Answer
verified

Which intervention will the nurse recommend for the distressed family and friends of someone who has committed suicide?

Correct Answer
verified
C

A tearful, anxious patient at the outpatient clinic reports, "I should be dead." The initial task of the nurse conducting the assessment interview is to do which of the following?

Correct Answer
verified

What is the key element when the nurse is providing follow-up counselling to a patient that has been discharged to home following a suicide attempt?

Correct Answer
verified
C

A nurse counsels a patient with recent suicidal ideation. Which is the nurse's most therapeutic comment?

Correct Answer
verified

An adult outpatient diagnosed with major depression has a history of several suicide attempts by overdose. Given this patient's history and diagnosis, which antidepressant medication would the nurse expect to be prescribed?

Correct Answer
verified
B

The feeling experienced by a patient that should be assessed by the nurse as most predictive of elevated suicide risk is:

Correct Answer
verified

A nurse interacts with an outpatient who has a history of multiple suicide attempts. Select the most helpful response for a nurse to make when the patient states, "I am considering committing suicide."

Correct Answer
verified

A person intentionally overdosed on antidepressants. Which nursing diagnosis has the highest priority?

Correct Answer
verified

A college student who failed two tests cried for hours and then tried to telephone a parent but got no answer. The student then gave several expensive sweaters to a roommate and asked to be left alone for a few hours. Which behaviour provides the strongest clue of an impending suicide attempt?

Correct Answer
verified

A depressed patient says, "Nothing matters anymore." What is the most appropriate response by the nurse?

Correct Answer
verified

A nurse assesses five newly hospitalized patients. Which patients have the highest suicide risk? Select all that apply.

Correct Answer
verified

It has been 3 days since a suicidal patient was hospitalized and prescribed an antidepressant medication. The patient is now more talkative and shows increased energy. Select the highest priority nursing intervention.

Correct Answer
verified

Correct Answer
verified

Exam 25: Suicide

A college student who attempted suicide by overdose was hospitalized. When the parents were contacted, they responded, "We should have seen this coming. We did not do enough." The parents' reaction reflects which of the following?

Correct AnswerverifiedShow Answer

Which statement by a depressed patient will alert the nurse to the patient's need for immediate, active intervention?

Correct AnswerverifiedShow Answer

A person who attempted suicide by overdose was treated in the emergency department and then hospitalized. The initial outcome is that the patient will do which of the following?

Correct AnswerverifiedShow Answer

Which nursing interventions will be implemented for a patient who is actively suicidal? Select all that apply.

Correct AnswerverifiedShow Answer

A patient hospitalized for 2 weeks committed suicide during the night. Which initial nursing measure will be most important regarding this event?

Correct AnswerverifiedShow Answer

Four individuals have given information about their suicide plans. Which plan evidences the highest suicide risk?

Correct AnswerverifiedShow Answer

After one of their identical twin daughters commits suicide, the parents express concern that the other twin may also have suicidal tendencies. Which reply should the nurse provide?

Correct AnswerverifiedShow Answer

Which intervention will the nurse recommend for the distressed family and friends of someone who has committed suicide?

Correct AnswerverifiedC

A tearful, anxious patient at the outpatient clinic reports, "I should be dead." The initial task of the nurse conducting the assessment interview is to do which of the following?

Correct AnswerverifiedShow Answer

What is the key element when the nurse is providing follow-up counselling to a patient that has been discharged to home following a suicide attempt?

Correct AnswerverifiedC

A nurse counsels a patient with recent suicidal ideation. Which is the nurse's most therapeutic comment?

Correct AnswerverifiedShow Answer

An adult outpatient diagnosed with major depression has a history of several suicide attempts by overdose. Given this patient's history and diagnosis, which antidepressant medication would the nurse expect to be prescribed?

Correct AnswerverifiedB

The feeling experienced by a patient that should be assessed by the nurse as most predictive of elevated suicide risk is:

Correct AnswerverifiedShow Answer

A nurse interacts with an outpatient who has a history of multiple suicide attempts. Select the most helpful response for a nurse to make when the patient states, "I am considering committing suicide."

Correct AnswerverifiedShow Answer

A person intentionally overdosed on antidepressants. Which nursing diagnosis has the highest priority?

Correct AnswerverifiedShow Answer

A college student who failed two tests cried for hours and then tried to telephone a parent but got no answer. The student then gave several expensive sweaters to a roommate and asked to be left alone for a few hours. Which behaviour provides the strongest clue of an impending suicide attempt?

Correct AnswerverifiedShow Answer

A depressed patient says, "Nothing matters anymore." What is the most appropriate response by the nurse?

Correct AnswerverifiedShow Answer

A nurse assesses five newly hospitalized patients. Which patients have the highest suicide risk? Select all that apply.

Correct AnswerverifiedShow Answer

It has been 3 days since a suicidal patient was hospitalized and prescribed an antidepressant medication. The patient is now more talkative and shows increased energy. Select the highest priority nursing intervention.

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Correct Answer
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C

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C

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B

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