CHAPTER 25 VARCOLIS QUESTIONS
WITH CORRECT ANSWERS
TestBankWorld.org
Chapter s25: sSuicide sand sNonsuicidal sSelf-Injury
Halter: sVarcarolis' sFoundations sof sPsychiatric sMental sHealth sNursing: sA sClinical
Approach, s8th sEdition
MULTIPLE sCHOICE
1. sAn sadult soutpatient sdiagnosed swith smajor sdepressive sdisorder shas sa shistory sof
sseveral ssuicide
attempts sby soverdose. sGiven sthis spatient's shistory sand sdiagnosis, swhich santidepressant
medication swould sthe snurse sexpect sto sbe sprescribed?
a. sAmitriptyline
b. sFluoxetine
c. sDesipramine
d. sTranylcypromine ssulfate s- scorrect sanswers✔✔ANS: sB
Selective sserotonin sreuptake sinhibitor santidepressants sare svery ssafe sin soverdosage
ssituations,
which sis snot strue sof sthe sother smedications slisted. sGiven sthis spatient's shistory sof
soverdosing, sit
is simportant sthat sthe smedication sbe sas ssafe sas spossible sin sthe sevent sof sanother
soverdose sof
prescribed smedication.
PTS: s1 sDIF: sCognitive sLevel: sAnalyze s(Analysis)
REF: sPages s25-25, s26 sTOP: sNursing sProcess: sPlanning
MSC: sClient sNeeds: sPhysiological sIntegrity
2. sFour sindividuals shave sgiven sinformation sabout stheir ssuicide splans. sWhich splan
sevidences sthe
highest ssuicide srisk?
a. sTurning son sthe soven sand sletting sgas sescape sinto sthe sapartment sduring sthe snight
b. sCutting sthe swrists sin sthe sbathroom swhile sthe sspouse sreads sin sthe snext sroom
c. sOverdosing son saspirin swith scodeine swhile sthe sspouse sis sout swith sfriends
d. sJumping sfrom sa srailroad sbridge slocated sin sa sdeserted sarea slate sat snight s- scorrect
sanswers✔✔ANS: sD
This sis sa shighly slethal smethod swith slittle sopportunity sfor srescue. sThe sother soptions sare
slower
lethality smethods swith shigher srescue spotential. sSee srelationship sto saudience sresponse
squestion.
PTS: s1 sDIF: sCognitive sLevel: sAnalyze s(Analysis)
REF: sPages s25-15, s16 sTOP: sNursing sProcess: sAssessment
MSC: sClient sNeeds: sPsychosocial sIntegrity
3. sWhich smeasure swould sbe sconsidered sa sform sof sprimary sprevention sfor ssuicide?
, a. sPsychiatric shospitalization sof sa ssuicidal spatient
b. sReferral sof sa sformerly ssuicidal spatient sto sa ssupport sgroup
c. sSuicide sprecautions sfor s24 shours sfor snewly sadmitted spatients
d. sHelping sschool schildren slearn sto smanage sstress sand sbe sresilient s- scorrect
sanswers✔✔ANS: sD
TestBankWorld.org
This smeasure spromotes seffective scoping sand sreduces sthe slikelihood sthat ssuch schildren
swill
become ssuicidal slater sin slife. sAdmissions sand ssuicide sprecautions sare ssecondary
sprevention
measures. sSupport sgroup sreferral sis sa stertiary sprevention smeasure.
PTS: s1 sDIF: sCognitive sLevel: sUnderstand s(Comprehension)
REF: sPages s25-17, s18, s54 s(Box s25-3) sTOP: sNursing sProcess: sImplementation
MSC: sClient sNeeds: sSafe, sEffective sCare sEnvironment
4. sWhich schange sin sthe sbrain's sbiochemical sfunction sis smost sassociated swith ssuicidal
sbehavior?
a. sDopamine sexcess
b. sSerotonin sdeficiency
c. sAcetylcholine sexcess
d. s-aminobutyric sacid sdeficiency s- scorrect sanswers✔✔ANS: sB
Research ssuggests sthat slow slevels sof sserotonin smay splay sa srole sin sthe sdecision sto
scommit
suicide. sThe sother sneurotransmitter salterations shave snot sbeen simplicated sin ssuicidality.
PTS: s1 sDIF: sCognitive sLevel: sUnderstand s(Comprehension)
REF: sPage s25-7 sTOP: sNursing sProcess: sAssessment
MSC: sClient sNeeds: sPhysiological sIntegrity
5. sA scollege sstudent swho sfailed stwo stests scried sfor shours sand sthen stried sto stelephone sa
sparent sbut
got sno sanswer. sThe sstudent sthen sgave sseveral sexpensive ssweaters sto sa sroommate sand
sasked sto
be sleft salone sfor sa sfew shours. sWhich sbehavior sprovides sthe sstrongest sclue sof san
simpending
suicide sattempt?
a. sCalling sparents
b. sExcessive scrying
c. sGiving saway ssweaters
d. sStaying salone sin sdorm sroom s- scorrect sanswers✔✔ANS: sC
Giving saway sprized spossessions smay ssignal sthat sthe sindividual sthinks she sor sshe swill
shave sno
further sneed sfor sthe sitem, ssuch sas swhen sa ssuicide splan shas sbeen sformulated. sCalling
sparents,
remaining sin sa sdorm, sand scrying sdo snot sprovide sdirect sclues sto ssuicide.
PTS: s1 sDIF: sCognitive sLevel: sApply s(Application)
REF: sPage s25-14 sTOP: sNursing sProcess: sAssessment
WITH CORRECT ANSWERS
TestBankWorld.org
Chapter s25: sSuicide sand sNonsuicidal sSelf-Injury
Halter: sVarcarolis' sFoundations sof sPsychiatric sMental sHealth sNursing: sA sClinical
Approach, s8th sEdition
MULTIPLE sCHOICE
1. sAn sadult soutpatient sdiagnosed swith smajor sdepressive sdisorder shas sa shistory sof
sseveral ssuicide
attempts sby soverdose. sGiven sthis spatient's shistory sand sdiagnosis, swhich santidepressant
medication swould sthe snurse sexpect sto sbe sprescribed?
a. sAmitriptyline
b. sFluoxetine
c. sDesipramine
d. sTranylcypromine ssulfate s- scorrect sanswers✔✔ANS: sB
Selective sserotonin sreuptake sinhibitor santidepressants sare svery ssafe sin soverdosage
ssituations,
which sis snot strue sof sthe sother smedications slisted. sGiven sthis spatient's shistory sof
soverdosing, sit
is simportant sthat sthe smedication sbe sas ssafe sas spossible sin sthe sevent sof sanother
soverdose sof
prescribed smedication.
PTS: s1 sDIF: sCognitive sLevel: sAnalyze s(Analysis)
REF: sPages s25-25, s26 sTOP: sNursing sProcess: sPlanning
MSC: sClient sNeeds: sPhysiological sIntegrity
2. sFour sindividuals shave sgiven sinformation sabout stheir ssuicide splans. sWhich splan
sevidences sthe
highest ssuicide srisk?
a. sTurning son sthe soven sand sletting sgas sescape sinto sthe sapartment sduring sthe snight
b. sCutting sthe swrists sin sthe sbathroom swhile sthe sspouse sreads sin sthe snext sroom
c. sOverdosing son saspirin swith scodeine swhile sthe sspouse sis sout swith sfriends
d. sJumping sfrom sa srailroad sbridge slocated sin sa sdeserted sarea slate sat snight s- scorrect
sanswers✔✔ANS: sD
This sis sa shighly slethal smethod swith slittle sopportunity sfor srescue. sThe sother soptions sare
slower
lethality smethods swith shigher srescue spotential. sSee srelationship sto saudience sresponse
squestion.
PTS: s1 sDIF: sCognitive sLevel: sAnalyze s(Analysis)
REF: sPages s25-15, s16 sTOP: sNursing sProcess: sAssessment
MSC: sClient sNeeds: sPsychosocial sIntegrity
3. sWhich smeasure swould sbe sconsidered sa sform sof sprimary sprevention sfor ssuicide?
, a. sPsychiatric shospitalization sof sa ssuicidal spatient
b. sReferral sof sa sformerly ssuicidal spatient sto sa ssupport sgroup
c. sSuicide sprecautions sfor s24 shours sfor snewly sadmitted spatients
d. sHelping sschool schildren slearn sto smanage sstress sand sbe sresilient s- scorrect
sanswers✔✔ANS: sD
TestBankWorld.org
This smeasure spromotes seffective scoping sand sreduces sthe slikelihood sthat ssuch schildren
swill
become ssuicidal slater sin slife. sAdmissions sand ssuicide sprecautions sare ssecondary
sprevention
measures. sSupport sgroup sreferral sis sa stertiary sprevention smeasure.
PTS: s1 sDIF: sCognitive sLevel: sUnderstand s(Comprehension)
REF: sPages s25-17, s18, s54 s(Box s25-3) sTOP: sNursing sProcess: sImplementation
MSC: sClient sNeeds: sSafe, sEffective sCare sEnvironment
4. sWhich schange sin sthe sbrain's sbiochemical sfunction sis smost sassociated swith ssuicidal
sbehavior?
a. sDopamine sexcess
b. sSerotonin sdeficiency
c. sAcetylcholine sexcess
d. s-aminobutyric sacid sdeficiency s- scorrect sanswers✔✔ANS: sB
Research ssuggests sthat slow slevels sof sserotonin smay splay sa srole sin sthe sdecision sto
scommit
suicide. sThe sother sneurotransmitter salterations shave snot sbeen simplicated sin ssuicidality.
PTS: s1 sDIF: sCognitive sLevel: sUnderstand s(Comprehension)
REF: sPage s25-7 sTOP: sNursing sProcess: sAssessment
MSC: sClient sNeeds: sPhysiological sIntegrity
5. sA scollege sstudent swho sfailed stwo stests scried sfor shours sand sthen stried sto stelephone sa
sparent sbut
got sno sanswer. sThe sstudent sthen sgave sseveral sexpensive ssweaters sto sa sroommate sand
sasked sto
be sleft salone sfor sa sfew shours. sWhich sbehavior sprovides sthe sstrongest sclue sof san
simpending
suicide sattempt?
a. sCalling sparents
b. sExcessive scrying
c. sGiving saway ssweaters
d. sStaying salone sin sdorm sroom s- scorrect sanswers✔✔ANS: sC
Giving saway sprized spossessions smay ssignal sthat sthe sindividual sthinks she sor sshe swill
shave sno
further sneed sfor sthe sitem, ssuch sas swhen sa ssuicide splan shas sbeen sformulated. sCalling
sparents,
remaining sin sa sdorm, sand scrying sdo snot sprovide sdirect sclues sto ssuicide.
PTS: s1 sDIF: sCognitive sLevel: sApply s(Application)
REF: sPage s25-14 sTOP: sNursing sProcess: sAssessment
