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A the more specific the plan is the more likely the

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A. The more specific the plan is, the more likely the client will attempt suicide.B. Clients who talk about suicide never actually commit it.C. Clients who threaten suicide should be observed every 15 minutes.D. After a brief assessment, the nurse should avoid the topic of suicide.ANS: AClients who have specific plans are at greater risk for suicide.13. A suicidal client says to a nurse, There's nothing to live for anymore. Which is the mostappropriate nursing reply?A. Why dont you consider doing volunteer work in a homeless shelter?B. Lets discuss the negative aspects of your life.C. Things will look better in the morning.D. It sounds like you are feeling pretty hopeless.ANS: DThis statement verbalizes the clients implied feelings and allows him or her to validate andexplore them.14. A new nursing graduate asks the psychiatric nurse manager how to best classify suicide.Which is the nurse managers best reply?A. Suicide is a DSM-5 diagnosis.B. Suicide is a mental disorder.C. Suicide is a behavior.D. Suicide is an antisocial affliction.ANS: CSuicide is not a diagnosis, disorder, or affliction. It is a behavior.15. A nursing student is developing a plan of care for a suicidal client. Which documentedintervention should the student implement first?A. Communicate therapeutically.B. Observe the client.C. Provide a hazard-free environment.D. Assess suicide risk.ANS: DAssessment is the first step of the nursing process to gain needed information to determinefurther appropriate interventions.16. Which is a correctly written, appropriate outcome for a client with a history of suicideattempts who is currently exhibiting symptoms of low self-esteem by isolating self?A. The client will not physically harm self.B. The client will express three positive self-attributes by day 4.C. The client will reveal a suicide plan.D. The client will establish a trusting relationship.ANS: BAlthough the client has a history of suicide attempts, the current problem is isolative behaviorsbased on low self-esteem. Outcomes should be client centered, specific, realistic, andmeasureable and contain a time frame.
17. A nursing instructor is teaching about suicide. Which student statement indicates that learninghas occurred?A. Suicidal threats and gestures should be considered manipulative and/or attention-seeking.B. Suicide is the act of a psychotic person.C. All suicidal individuals are mentally ill.D. Fifty to eighty percent of all people who kill themselves have a history of a previous attempt.ANS: DIt is a fact that between 50% and 80% of all people who kill themselves have a history of aprevious attempt. All other answer choices are myths about suicide.18. A nurse is caring for four clients diagnosed with major depressive disorder. Whenconsidering each clients belief system, the nurse should conclude which client would potentiallybe at highest risk for suicide?

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