The family of a suicidal patient asks the health care team about having the patient sign a no-suicide contract. Which response is the most accurate? “No-suicide contracts protect the health care team member from legal action in the event of a suicide.” “No-suicide contracts have not been found to reduce suicide risk.” “Evidence exists that no-suicide contracts are an effective prevention tool.” “No-suicide contracts require a commitment by the patient to stop suicidal thinking.”
Nursing
The family of a suicidal patient asks the health care team about having the patient sign a no-suicide contract. Which response is the most accurate?
“No-suicide contracts protect the health care team member from legal action in the event of a suicide.”
“No-suicide contracts have not been found to reduce suicide risk.”
“Evidence exists that no-suicide contracts are an effective prevention tool.”
“No-suicide contracts require a commitment by the patient to stop suicidal thinking.”
A health care team member is planning care for a suicidal patient who is on direct, constant observation status. What is the priority intervention?
Work collaboratively with all health care team members to engage the patient in activities.
Assess the patient’s suicide risk thoroughly at regular intervals.
Provide opportunities for the patient to express feelings.
Administer antidepressant medications as needed.
A health care team member is caring for an inpatient who has thoughts of self-harm using a handgun that is kept in the bedside table at home. Which aspect of maintaining the patient’s safety is important?
Ask the patient if he can assure the team member that he will not use the gun after he is discharged.
Call the patient’s family member and tell him or her to remove the gun.
Collaborate with the patient to have the gun secured before the patient is discharged.
Notify the police to have the gun removed from the home.
When a health care team member is working with a patient to complete a safety plan, the patient states, “I can’t remember my friends’ numbers, but I have them here in my phone,” which response is best?
“OK, that’s a good place for them. You have your phone all the time.”
“Give me the phone so I can write them on the paper.”
“No one knows phone numbers anymore. I don’t know why the form asks for them.”
“It’s a good idea to put them on paper in case you can’t locate your phone.”
Helping the patient identify warning signs of a pending crisis is important for which reason?
The patient can notify everyone listed as a resource to get involved immediately.
The patient can have the opportunity to stop the crisis before it starts.
The patient can contact the suicide hotline immediately.
The patient’s activities can be restricted automatically.
Why are a patient’s family members and friends valuable resources regarding events leading up to a suicide attempt?
Patients may minimize the severity of their suicidal ideation.
Family and friends willingly share the patient’s secrets.
Family and friends tend to be more loyal to the patient after a suicide attempt.
Many patients are mistrustful of speaking to health care professionals.
A patient with a history of attempted suicide is transferred to a different unit and is assigned to a new health care team member. Which action should the team member take first?
Collaborate with the multidisciplinary team.
Inform the patient that he or she is being placed on suicide precautions.
Place the patient in the room closest to the nurses’ station.
Conduct a suicide risk assessment.
A health care team member is assessing suicide risk in an adolescent who has a history of self-injurious behaviors. Which statement about self-injury is true?
Only mental health practitioners should discuss self-injurious behaviors with patients.
Self-injury always precipitates a suicide attempt.
Self-injury is a maladaptive method of gaining attention.
Self-injurious behaviors are not part of normal adolescent development.
A patient has recently suffered a traumatic accident, resulting in loss of the left leg. The patient is unwilling to participate in physical therapy, has been avoiding family, and wants to leave against medical advice. Which intervention should be the priority?
Encourage the physical therapist to establish a rapport with the patient.
Tell the patient gently that leaving is unwise at this time.
Assess the wound area for signs of infection.
Assess the patient for depression and suicidal ideation.
Which intervention is the most important in assessing suicidal ideation?
Establishing a therapeutic alliance with the patient
Asking the family to provide a patient history
Obtaining an accurate medication list
Using a direct approach when questioning the patient about suicidal thoughts
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