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A patient who has attempted suicide has an underlying diagnosis of depression. Which of the following would the nurse anticipate being ordered for the patient?
- A. Selective serotonin reuptake inhibitor
- B. Mood stabilizer
- C. Tricyclic antidepressant
- D. Atypical antipsychotic
Correct Answer: A
Rationale: Selective serotonin reuptake inhibitors (SSRIs) (A) are first-line treatments for depression due to their efficacy and favorable side-effect profile. Mood stabilizers (B) are used for bipolar disorder, tricyclic antidepressants (C) are less commonly used due to side effects, and atypical antipsychotics (D) are not primary treatments for depression.
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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.
A patient comes??5comes to the clinic for an evaluation of headache, fatigue, and an overall feeling of being down. When assessing the patient, which statement by the patient would alert the nurse to suspect possible suicide? Select all that apply.
- A. I?ve been drinking about three or four more beers every night.
- B. I?ve been going out with my friends about once or twice a week.
- C. I?m so tired that all I ever want to do is sleep all the time.
- D. Most times, I feel like I?m trapped with no way out.
- E. I?m looking for a new job because my job is so stressful.
Correct Answer: C,D
Rationale: Statements indicating excessive sleepiness (C) and feeling trapped with no way out (D) are red flags for suicide risk, as they suggest severe depression and hopelessness, respectively. Increased alcohol use (A) is a risk factor but less specific without direct suicidal content. Socializing (B) and job stress (E) are not direct indicators of suicidal ideation.
A group of nursing students is reviewing information about suicide and associated concepts. The group demonstrates understanding of the information when they identify which of the following as the probability that a person will successfully complete suicide?
- A. Parasuicide
- B. Suicidal ideation
- C. Suicidality
- D. Lethality
Correct Answer: D
Rationale: Lethality (D) refers to the probability that a person will successfully complete suicide, based on the method?s potential to cause death. Parasuicide (A) involves nonfatal acts, suicidal ideation (B) is thoughts of suicide, and suicidality (C) is a broader term encompassing suicidal thoughts and behaviors.
The nurse is working with a patient who will be signing a commitment to treatment statement. After teaching the patient about this statement, the nurse determines the need for additional instruction when the patient states which of the following?
- A. Signing this statement means that I will not commit suicide.
- B. I am agreeing to get emergency treatment if I have suicidal thoughts.
- C. I will be open and honest about my feelings about treatment.
- D. I am agreeing to participate in the necessary treatment for my condition
Correct Answer: A
Rationale: A commitment to treatment statement is a collaborative agreement to engage in treatment and seek help, not a promise not to commit suicide (A), which is unrealistic and oversimplifies the patient?s responsibility. Options B, C, and D accurately reflect components of such a statement.
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.