5/17/23, 12:02 PMElsevier Adaptive Quizzing - Quiz performance69/82Which initial intervention would be implemented when a depressedclient says, "I’m no good. I’m better off dead"?RationaleAlerting the staff to schedule a24-hour observationof the client is the mosttherapeutic approach to preventing suicide. A staff member also provides specialattention to help the client meet dependency needs and reduce a self-defeatingattitude. Staying with the client until the depression eases is unrealistic, because thenurse cannot be with the client constantly until the depression lifts. Replying, "I thinkyou’re good; you should think about living," negates the client’s feelings and cuts offfurther communication. Although potentially hazardous objects should be removed,the initial intervention is a 24-hour observation of the client.Which response would the nurse make to a client with depression whois sitting by the window crying?Respond, "I’ll stay with you until you’re less depressed."Reply, "I think you’re good; you should think about living."Alert the staff to schedule a 24-hour observation of the client.Unobtrusively remove those articles that may be used in a suicide attempt."It’s okay. No need to cry or worry while you’re here. We all feel down now andthen.""Please don’t consider suicide. It really isn’t an appropriate way out of yourtroubles.""You seem to be experiencing a sad moment. I’ll sit here with you for a whileand talk if you would like.""Why don’t you go into the dayroom and join the card game going on? That’lltake your mind off of your problems for a while."
5/17/23, 12:02 PMElsevier Adaptive Quizzing - Quiz performance70/82RationaleThe nurse would say, "You seem to be experiencing a sad moment. I’ll sit here with youfor a while and talk if you would like." The nurse is acknowledging that the client isfeeling especially down and offering to be available for discussion or just to provide apresence. Telling the client not to cry and that we all feel down now and then belittlesthe client’s feelings. The response regarding suicide is judgmental and may discourageany effort by the client to initiate a discussion. Suggesting a card game does notacknowledge the client’s feelings and appears to trivialize the client’s feelings.Test-Taking Tip:Multiple-choice questions can be challenging, because students thinkthat they will recognize the right answer when they see it or that the right answer willsomehow stand out from the other choices. This is a dangerous misconception. Themore carefully the question is constructed, the more each of the choices will seem likethe correct response.Which action would the nurse take for a withdrawn client who refuses toget out of bed and becomes upset when asked to do so?
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