NRl 326l /l NR326l Examl 2:l Mentall Healthl
Reviewl (Latestl 2026/l 2027l Update)l |l Qsl
&l As|l Gradel A|l 100%l Correctl (Verifiedl
Answers)-l Chamberlain
Q:l Nursingl interventionsl forl suicidel prevention
Answer:
Implementl 1:1l observation
Frequentl roundsl atl irregularl intervals
Removel alll potentiallyl harmfull objects
Performl rooml searchl PRN
Developl safetyl plan
Assessl ifl thel clientl swallowsl alll meds
Documentl specificl startl andl stopl timesl whenl takingl overl thel care
Documentl location,l mood,l behavior,l quotedl statementsl ql 15l min
Buildl trustl andl presentl al nonjudgmentall attitude
Q:l Therapeuticl communicationl forl suicidall ideation
Answer:
•"l Itl soundsl likel youl havel beenl suffering."
•"Youl seeml tol bel overwhelmed."
•"l Il aml herel tol listenl tol you."
•"Telll mel morel aboutl howl youl arel feeling."
•"Itl soundsl likel youl havel beenl feelingl hopelessl forl awhile."
•"Itl mustl bel scaryl tol wantl tol endl yourl life."
Q:l Al clientl diagnosedl withl majorl depressivel disorderl withl psychoticl featuresl hearsl
voicesl commandingl self-harm.l Thel clientl refusesl tol commitl tol developingl al planl forl
safety.l Whatl shouldl bel thel nurse'sl priorityl interventionl atl thisl time?
A.l Obtainingl anl orderl forl lockedl seclusionl untill clientl isl nol longerl suicidal
B.l Conductingl 15-minutel checksl tol ensurel safety
,C.l Placingl thel clientl onl one-to-onel observationl whilel monitoringl suicidall ideations
D.l Encouragingl clientl tol expressl feelingsl relatedl tol suicide
Answer:
Placingl thel clientl onl one-to-onel observationl whilel monitoringl suicidall ideations
Q:l Al clientl withl al historyl ofl threel suicidel attemptsl hasl beenl takingl fluoxetinel
(Prozac)l forl 1l month.l Thel clientl suddenlyl presentsl withl al brightl affect,l ratesl moodl atl
9/10,l andl isl muchl morel communicative.l Whichl actionl shouldl bel thel nurse'sl priorityl atl
thisl time?
A.l Givel thel clientl off-unitl privilegesl asl positivel reinforcement.
B.l Encouragel thel clientl tol sharel moodl improvementl inl thel group.
C.l Assessl forl suicidall thoughts
D.l Requestl thatl thel psychiatristl reevaluatel thel currentl medicationl protocol.
Answer:
Assessl forl suicidall thoughts
Q:l Al suicidall clientl saysl tol al nurse,l "There'sl nothingl tol livel forl anymore."l Whichl isl
thel mostl appropriatel nursingl reply?
A.l "Whyl don'tl youl considerl doingl volunteerl workl inl al homelessl shelter?"
B.l "Let'sl discussl thel negativel aspectsl ofl yourl life."
C.l "Thingsl willl lookl betterl inl thel morning."
D.l "Itl soundsl likel youl arel feelingl prettyl hopeless."
Answer:
"Itl soundsl likel youl arel feelingl prettyl hopeless."
Q:l Ifl patientsl totall scorel isl 0-2l onl thel SADl PERSONSl scalel whatl isl thel appropriatel
action
Answer:
Sendl homel withl follow-up
Q:l Ifl patientsl totall scorel isl 3-4l onl thel SADl PERSONSl scalel whatl isl thel appropriatel
action
Answer:
Closel follow-up;l considerl hospitalization
,Q:l Ifl patientsl totall scorel isl 5-6l onl thel SADl PERSONSl scalel whatl isl thel appropriatel
action
Answer:
Stronglyl considerl hospitalization,l dependingl onl confidencel inl thel follow-upl arrangement
Q:l Ifl patientsl totall scorel isl 7-10l onl thel SADl PERSONSl scalel whatl isl thel
appropriatel action
Answer:
Hospitalizel orl commit
Q:l Whatl isl depression
Answer:
•Anl alterationl inl moodl expressedl byl feelingsl ofl sadness,l despair,l andl pessimism.l
Therel isl al lossl ofl interestl inl usuall activitiesl andl somaticl symptomsl mayl bel evident.l
Changesl inl appetite,l sleepl patterns,l andl cognitionl arel common.l
Thel depressionl causesl clinicallyl significantl distressl orl impairmentl inl social,l
occupational,l orl otherl importantl areasl ofl functioning.
•Mostl prevalentl psychiatricl disorder
Q:l Riskl factorsl ofl depression
Answer:
•Familyl historyl isl mostl significant
•Genderl (female>male)
•Agel (65+l veryl common)
•Neurotransmitterl deficiencies
Q:l Whatl isl happeningl inl thel brainl withl depression
Answer:
•Dopaminel decrease
•Norepinephrinel decrease
•Serotoninl decrease
•Acetylcholinel increase
, Q:l Whatl arel thel differentl kindsl ofl depressivel disorders
Answer:
•SAD-Seasonall Affectivel Disorder
•Persistentl Depressivel Disorder,l Dysthymial (moderatel depression)
•Premenstruall Dysphoricl Disorder
•Substance-Inducedl Depressivel Disorder
•Depressivel Disorderl duel tol anotherl medicall condition
•Postpartuml Depression
Q:l Whatl isl dysthymia
Answer:
•Chronicl depressivel syndrome
•Onsetl isl earlyl childhood→l youngl adulthoodl andl arel atl riskl forl developingl MDD
•Nol psychosis
•Symptoms:l mostl ofl thel daysl forl atl leastl 2l yearl inl adults
Q:l Whatl arel cognitivel symptomsl ofl Dysthymia
Answer:
•Impairedl Memoryl &l Concentration,
•Difficultyl makingl decisions
Q:l Whatl arel emotionall symptomsl ofl dysthymia
Answer:
•Helpless,l Hopeless,l Worthless,
•Anhedonial (lackl ofl pleasure)
Q:l Whatl arel physicall symptomsl ofl dysthymia
Answer:
•Appetite,
•l Sleep,
•Anergia
•Anhedonia
Q:l Whatl populationsl arel atl riskl forl suicide
Answer:
Reviewl (Latestl 2026/l 2027l Update)l |l Qsl
&l As|l Gradel A|l 100%l Correctl (Verifiedl
Answers)-l Chamberlain
Q:l Nursingl interventionsl forl suicidel prevention
Answer:
Implementl 1:1l observation
Frequentl roundsl atl irregularl intervals
Removel alll potentiallyl harmfull objects
Performl rooml searchl PRN
Developl safetyl plan
Assessl ifl thel clientl swallowsl alll meds
Documentl specificl startl andl stopl timesl whenl takingl overl thel care
Documentl location,l mood,l behavior,l quotedl statementsl ql 15l min
Buildl trustl andl presentl al nonjudgmentall attitude
Q:l Therapeuticl communicationl forl suicidall ideation
Answer:
•"l Itl soundsl likel youl havel beenl suffering."
•"Youl seeml tol bel overwhelmed."
•"l Il aml herel tol listenl tol you."
•"Telll mel morel aboutl howl youl arel feeling."
•"Itl soundsl likel youl havel beenl feelingl hopelessl forl awhile."
•"Itl mustl bel scaryl tol wantl tol endl yourl life."
Q:l Al clientl diagnosedl withl majorl depressivel disorderl withl psychoticl featuresl hearsl
voicesl commandingl self-harm.l Thel clientl refusesl tol commitl tol developingl al planl forl
safety.l Whatl shouldl bel thel nurse'sl priorityl interventionl atl thisl time?
A.l Obtainingl anl orderl forl lockedl seclusionl untill clientl isl nol longerl suicidal
B.l Conductingl 15-minutel checksl tol ensurel safety
,C.l Placingl thel clientl onl one-to-onel observationl whilel monitoringl suicidall ideations
D.l Encouragingl clientl tol expressl feelingsl relatedl tol suicide
Answer:
Placingl thel clientl onl one-to-onel observationl whilel monitoringl suicidall ideations
Q:l Al clientl withl al historyl ofl threel suicidel attemptsl hasl beenl takingl fluoxetinel
(Prozac)l forl 1l month.l Thel clientl suddenlyl presentsl withl al brightl affect,l ratesl moodl atl
9/10,l andl isl muchl morel communicative.l Whichl actionl shouldl bel thel nurse'sl priorityl atl
thisl time?
A.l Givel thel clientl off-unitl privilegesl asl positivel reinforcement.
B.l Encouragel thel clientl tol sharel moodl improvementl inl thel group.
C.l Assessl forl suicidall thoughts
D.l Requestl thatl thel psychiatristl reevaluatel thel currentl medicationl protocol.
Answer:
Assessl forl suicidall thoughts
Q:l Al suicidall clientl saysl tol al nurse,l "There'sl nothingl tol livel forl anymore."l Whichl isl
thel mostl appropriatel nursingl reply?
A.l "Whyl don'tl youl considerl doingl volunteerl workl inl al homelessl shelter?"
B.l "Let'sl discussl thel negativel aspectsl ofl yourl life."
C.l "Thingsl willl lookl betterl inl thel morning."
D.l "Itl soundsl likel youl arel feelingl prettyl hopeless."
Answer:
"Itl soundsl likel youl arel feelingl prettyl hopeless."
Q:l Ifl patientsl totall scorel isl 0-2l onl thel SADl PERSONSl scalel whatl isl thel appropriatel
action
Answer:
Sendl homel withl follow-up
Q:l Ifl patientsl totall scorel isl 3-4l onl thel SADl PERSONSl scalel whatl isl thel appropriatel
action
Answer:
Closel follow-up;l considerl hospitalization
,Q:l Ifl patientsl totall scorel isl 5-6l onl thel SADl PERSONSl scalel whatl isl thel appropriatel
action
Answer:
Stronglyl considerl hospitalization,l dependingl onl confidencel inl thel follow-upl arrangement
Q:l Ifl patientsl totall scorel isl 7-10l onl thel SADl PERSONSl scalel whatl isl thel
appropriatel action
Answer:
Hospitalizel orl commit
Q:l Whatl isl depression
Answer:
•Anl alterationl inl moodl expressedl byl feelingsl ofl sadness,l despair,l andl pessimism.l
Therel isl al lossl ofl interestl inl usuall activitiesl andl somaticl symptomsl mayl bel evident.l
Changesl inl appetite,l sleepl patterns,l andl cognitionl arel common.l
Thel depressionl causesl clinicallyl significantl distressl orl impairmentl inl social,l
occupational,l orl otherl importantl areasl ofl functioning.
•Mostl prevalentl psychiatricl disorder
Q:l Riskl factorsl ofl depression
Answer:
•Familyl historyl isl mostl significant
•Genderl (female>male)
•Agel (65+l veryl common)
•Neurotransmitterl deficiencies
Q:l Whatl isl happeningl inl thel brainl withl depression
Answer:
•Dopaminel decrease
•Norepinephrinel decrease
•Serotoninl decrease
•Acetylcholinel increase
, Q:l Whatl arel thel differentl kindsl ofl depressivel disorders
Answer:
•SAD-Seasonall Affectivel Disorder
•Persistentl Depressivel Disorder,l Dysthymial (moderatel depression)
•Premenstruall Dysphoricl Disorder
•Substance-Inducedl Depressivel Disorder
•Depressivel Disorderl duel tol anotherl medicall condition
•Postpartuml Depression
Q:l Whatl isl dysthymia
Answer:
•Chronicl depressivel syndrome
•Onsetl isl earlyl childhood→l youngl adulthoodl andl arel atl riskl forl developingl MDD
•Nol psychosis
•Symptoms:l mostl ofl thel daysl forl atl leastl 2l yearl inl adults
Q:l Whatl arel cognitivel symptomsl ofl Dysthymia
Answer:
•Impairedl Memoryl &l Concentration,
•Difficultyl makingl decisions
Q:l Whatl arel emotionall symptomsl ofl dysthymia
Answer:
•Helpless,l Hopeless,l Worthless,
•Anhedonial (lackl ofl pleasure)
Q:l Whatl arel physicall symptomsl ofl dysthymia
Answer:
•Appetite,
•l Sleep,
•Anergia
•Anhedonia
Q:l Whatl populationsl arel atl riskl forl suicide
Answer:
