Suicide and Non-Suicidal Self-Injury Exam Questions and Correct Answers Graded A+

Suicide and Non-Suicidal Self-Injury Exam Questions and Correct Answers Graded A+ Which is the greatest protective factor against the risk of suicide? - Answers A sense of responsibility to family, including spouse and children Having family responsibilities makes a client less likely to commit suicide. Hopelessness is the greatest risk factor. An assessment tool that is useful to nurses in rating suicide risk is the - Answers Sad Persons scale. Evaluation of a suicide plan is extremely important in determining the degree of suicidal risk. The Sad Persons scale is short and easy to use. It thoroughly covers major risk factors and gives guidelines for action to meet the client's needs. Which statement is a fact about suicide? - Answers A client with schizophrenia is at great risk for attempting suicide. Individuals with schizophrenia are 50 times more likely to attempt suicide than is the general public. Suicide is the eleventh leading cause of death in the United States. Native Americans and Alaskan Natives have high suicide rates. More women attempt suicide, but more men are successful. A suicidal individual calls a suicide hot line. This represents the level of intervention classified as - Answers secondary. Secondary prevention is essentially treatment. Which neurotransmitter has been implicated as playing a part in the decision to commit suicide? - Answers Serotonin. Low serotonin levels have been noted among individuals who have committed suicide. When working with a client who may have made a covert reference to suicide, the nurse should - Answers ask the client directly if he or she is thinking of attempting suicide. Covert references should be made overt. The nurse should directly address any suicidal hints given by the client. Self-destructive ideas are a personal decision. Talking openly about suicide leads to a decrease in isolation and can increase problem-solving alternatives for living. People who attempt suicide, even those who regret the failure of their attempt, are often extremely receptive to talking about their suicide crisis. Nurses should assess the lethality of the client's plan for suicide. What factor would be irrelevant to that assessment? - Answers How long the client has been suicidal. Lethality refers to how deadly a plan is. The length of time a client has been suicidal has nothing to do with the lethality of the plan. You'll be looking for if the plan has specific details, how lethal the method is, and whether the client has the means of implementing the plan. The suicide intervention that has the greatest impact on a client's safety is - Answers one-on-one observation by the staff. One-on-one observation allows for constant supervision, which minimizes the client's opportunities to cause self-harm. Some of the most important characteristics of staff members who work with suicidal clients are - Answers warmth and consistency when interacting. Crucial characteristics of staff members who work with suicidal clients include warmth, sensitivity, interest, and consistency. The nurse proposes that a suicidal client enter into a no-suicide contract. Such a contract would contain a provision that the client promises - Answers not to attempt suicide in the next 24 hours. A no-suicide contract is quite straightforward in seeking a client's promise not to attempt to harm oneself within a specified period. When that time expires, a new contract is negotiated. A client tells the nurse that he believes his situation is intolerable. The nurse assesses that the client is isolating socially. A nursing diagnosis that should be considered is - Answers hopelessness. The defining characteristics are present for the nursing diagnosis of hopelessness. The nursing diagnosis Risk for self-directed violence has been added to the care plan of a suicidal client. The most appropriate short-term goal would be that while hospitalized, the client will - Answers seek help when feeling self-destructive. Having the client cope with self-destructive impulses in a healthy way is the only appropriate short-term goal here. An identical twin recently committed suicide. The parent tells the nurse, "Thank heavens suicide does not run in families. I won't have to worry about my other son." The nurse's response will be based on the understanding that this optimism is - Answers not based on accurate knowledge because twin studies suggest the presence of genetic factors in suicide. Twin studies, in fact, show that a genetic component of suicide may be present. A client with a history of repeated suicidal attempts refuses to participate in a no-suicide contract. What intensity of nursing observation should be instituted? - Answers Constant 24-hour, one-to-one observation at arm's length. A client who will not enter into a no-suicide contract should be placed on the highest level of suicide watch. The nurse observes the meal tray about to serve a suicidal client. Which item should be removed from the tray? - Answers Metal utensils. In most health care agencies, suicidal clients receive plastic dinnerware on their meal trays. A client on one-to-one supervision at arm's length indicates a need to go to the bathroom but reports, "I cannot 'go' with you standing there." The nurse should - Answers say "For your safety I can be no more than an arm's length away." This level of suicide watch does not make adjustments based on client preference. The explanation quoting the protocol and the reason (your safety) is appropriate. Unit practice requires inspection of all items being brought onto the unit by visitors. This can be most effectively done by - Answers having a staff member sit at the door and check packages as visitors enter. A number of ways to inspect items are possible.Taking all potentially harmful gifts from visitors before allowing them to see clients, going through client's belongings (with client present) and removing all potentially harmful objects, ensuring that visitors do not leave