Nokea
Which assessment finding should be considered a high risk factor for adolescent suicide?
- A. Being sexually abused.
- B. Having experienced panic attacks
- C. Being mildly cognitively impaired
- D. Having a diagnosis of type 1 diabetes
Correct Answer: A
Rationale: Adolescents who have been sexually abused are at a higher risk for suicide. Trauma can significantly impact mental health, increasing the risk of depression, self-harm, and suicidal thoughts.
You may also like to solve these questions
What milieu factor would need most attention from the nurse who is caring for a patient who has received six ECT treatments and has two more sc\
- A. Therapeutic activities
- B. Boundary maintenance
- C. Safety
- D. Trust attainment
Correct Answer: C
Rationale: When caring for a patient who has received multiple electroconvulsive therapy (ECT) treatments and has more scheduled, the most critical milieu factor that needs attention is safety. ECT is a medical procedure that involves inducing seizures through electrical stimulation, and patients may be at risk of physical harm during or after the treatments. The nurse should prioritize ensuring the patient's safety during and after the ECT sessions, including monitoring for any adverse effects, providing support, and taking necessary precautions to prevent accidents. Safety measures, such as fall prevention protocols and close observation, are essential in the care of patients undergoing ECT to ensure their well-being. Therefore, safety is the milieu factor that requires the most attention in this situation.
An advanced practice nurse is qualified to perform which action for patients?
- A. Perform mental health assessment interviews.
- B. Prescribe psychotropic medication.
- C. Establish therapeutic relationships.
- D. Individualize nursing care plans.
Correct Answer: B
Rationale: Advanced practice nurses, such as psychiatric-mental health nurse practitioners, are qualified to prescribe medications, including psychotropics, as part of their expanded scope of practice. Other listed actions can also be performed by registered nurses.
When a hospitalized patient dies, his wife stares blankly at the nurse and states, “It can’t be.” The nurse assesses this as indicating:
- A. Shock and disbelief
- B. Anger and hostility
- C. Disorganization and confusion
- D. Despair and protest.
Correct Answer: A
Rationale: The wife's statement, "It can't be," indicates that she is experiencing shock and disbelief at the news of her husband's death. This response is common when individuals are faced with a sudden and unexpected loss. The wife's blank stare and statement suggest that she is struggling to accept the reality of the situation, which aligns with the symptoms of shock and disbelief.
A nurse, leading an inpatient group dealing with women’s issues, identifies a patient who is assuming the role of aggressor. Which behavior characterizes this role?
- A. Mediating conflicts and disagreements
- B. Criticizing the contributions of others
- C. Seeking a position between contending sides
- D. Remaining quiet and refraining from participating in group discussions
Correct Answer: B
Rationale: In a group setting, a patient assuming the role of aggressor typically exhibits behaviors such as criticizing the contributions of others, being hostile, confrontational, and attempting to assert dominance. This behavior can create a negative and hostile environment in the group, undermining the therapeutic process. It is important for the nurse to recognize and address this behavior in order to promote a safe and supportive atmosphere for all group members to participate and benefit from the sessions.
Which statement made by a teenage male hospitalized after a failed suicide attempt is most concerning to the nurse?
- A. The gun I got for my birthday is my most prized possession.
- B. I don’t know why I get so depressed and want to die.
- C. "I don’t feel like I can talk to anyone about my feelings."
- D. The gun I got for my birthday is my most prized possession.
Correct Answer: D
Rationale: This statement is concerning because it suggests the teenager may still have access to dangerous means (in this case, a gun) and may not fully understand or take responsibility for the gravity of his previous suicidal attempt. The attachment to the gun is alarming.