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A family member of an adolescent who has expressed a desire to commit suicide asks the nurse, What might predict the possibility of future suicide attempts? Which of the following would the nurse include in the response?
- A. Unemployment
- B. Death of a spouse
- C. Previous suicide attempt
- D. Polydrug use
Correct Answer: C
Rationale: A previous suicide attempt is the strongest predictor of future suicide attempts, as it indicates a history of engaging in life-threatening behavior and suggests persistent suicidal ideation or unresolved risk factors. While unemployment (A), death of a spouse (B), and polydrug use (D) are risk factors, they are less specific predictors compared to a documented prior attempt.
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A nurse is presenting a discussion for a local community group about suicide. Which comment from an audience member indicates the need to clarify the information?
- A. Warning signs about the person?s intention often occur.
- B. People who are suicidal are undecided about living or dying.
- C. Suicides more often occur during the holiday seasons.
- D. People who talk about suicide need to be taken seriously.
Correct Answer: C
Rationale: The comment that suicides more often occur during the holiday seasons (C) is a common myth. Research shows no consistent increase in suicides during holidays; risk is more tied to individual factors. The other comments (A, B, D) are accurate: warning signs are common, suicidal individuals are often ambivalent, and suicide talk must be taken seriously.
The nurse determines that a patient is at imminent risk for suicide. Which of the following would be least appropriate to include in the patient?s plan of care?
- A. Listening intently and nonjudgmentally
- B. Validating the patient?s feelings and experience
- C. Instituting strict restriction on the patient?s activity
- D. Using cognitive interventions to foster hope
Correct Answer: C
Rationale: Strict activity restriction (C) is least appropriate for a patient at imminent suicide risk unless there is an immediate safety threat requiring such measures. Listening (A), validating feelings (B), and cognitive interventions (D) are therapeutic and supportive, aligning with best practices for managing suicidal patients.
After teaching a class about factors that enhance the risk of suicide, the instructor determines the need for additional teaching when the class identifies which of the following?
- A. Family member committing suicide
- B. Cautiousness
- C. Delusions
- D. Loss
Correct Answer: B
Rationale: Cautiousness (B) is not a recognized risk factor for suicide; it may even be protective by reducing impulsivity. Family history of suicide (A), delusions (C), and loss (D) are established risk factors, as they contribute to genetic predisposition, altered thinking, and emotional distress, respectively.
After teaching a group of students about the various concepts involving suicide, the instructor determines that the teaching was successful when the students describe parasuicide as which of the following?
- A. Voluntary act of killing oneself
- B. All suicide-related behaviors and suicidal thoughts
- C. Nonfatal act with the intent to die
- D. Voluntary attempt without death as the aim
Correct Answer: D
Rationale: Parasuicide (D) refers to intentional self-harm without the aim of death, distinguishing it from suicide (A), suicidality (B), or nonfatal acts with lethal intent (C). It often serves as a coping mechanism or cry for help.
The nurse is providing a presentation for a group of health professionals about suicide. Which of the following would the nurse address as a major contributing factor to the rising suicide rate among men?
- A. Substance abuse
- B. Media influences
- C. Lack of conflict resolution skills
- D. Parenting practices
Correct Answer: A
Rationale: Substance abuse (A) is a major contributing factor to the rising suicide rate among men, as it exacerbates mental health issues, impairs judgment, and increases impulsivity, all of which heighten suicide risk. Media influences (B), lack of conflict resolution skills (C), and parenting practices (D) may contribute indirectly but are less significant compared to substance abuse.