NR326 ACTUAL EXAM FULL QUESTIONS
AND CORRECT ANSWERS GRADED A PLUS
●● SUICIDAL CLIENT - PRIORITY OUTCOME/GOAL
Answer: the client will remain safe during the hospital stay
●● SUICIDAL CLIENT WITH SUDDEN MOOD IMPROVEMENT -
PRIORITY NURSING INTERVENTION
Answer: increase frequency of client observation
increased energy may compel client to act on suicidal ideation
●● CLIENT EXHIBITING COMMAND HALLUCINATIONS FOR
SELF HARM - PRIORITY NURSING INTERVENTION
Answer: place client on one-to-one observation while monitoring
suicidal ideations
●● TRICYCLIC ANTIDEPRESSANTS - NURSING
CONSIDERATION
Answer: Tricyclic antidepressants have a narrow therapeutic range
can be used in overdose to commit suicide
,distributing limited amounts of the medication decreases this potential
●● NURSING DX - HOPELESSNESS
Answer: *Client*
"Nothing will ever get better. Nobody can help me."
*Nursing Dx*
Hopelessness R/T altered mood AEB client statements
●● SUICIDE - FAMILY TEACHING
Answer: be available to actively listen, support and accept feelings
increases potential that a client will confide suicidal ideations to family
members
●● WHEN CLIENT HAS MANY RISK FACTORS FOR SUICIDE -
PRIORITY INTERVENTION
Answer: client should have increased supervision to decrease likelihood
of self-harm
●● SUICIDE RATE - ELDERLY
Answer: eldery comprise 13% of the population, but *account for 15%
of all suicides*
,●● WHEN A CLIENT THREATENS SUICIDE - NURSING
CONSIDERATION
Answer: the more specific the plan is, the more likely the client will
attempt suicide
●● SUICIDE
Answer: the act of taking one's own life
*NOT* a diagnosis, or disorder
the act is a *BEHAVIOR*
●● SUICIDE - FIRST STEP IN DEVELOPING PLAN OF CARE
Answer: assess suicide risk
●● ISOLATIVE BEHAVIORS BASED ON LOW SELF ESTEEM -
OUTCOME/GOAL
Answer: client will be able to express three positive self attributes by a
specified day
●● CLIENT GOALS
Answer: *should be...*
, client centered
specific
realistic
measurable
contain a time frame
●● SUICIDE - NURSING CONSIDERATION
Answer: between 50-80% of all people who kill themselves have a
history of a previous attempt
having a history of suicide places client at a higher risk for current
suicide behaviors
●● SUICIDE RISK FACTORS - MARITAL STATUS
Answer: single-never married 2x more than married person
divorce increases risk
- men 3x more than women
AND CORRECT ANSWERS GRADED A PLUS
●● SUICIDAL CLIENT - PRIORITY OUTCOME/GOAL
Answer: the client will remain safe during the hospital stay
●● SUICIDAL CLIENT WITH SUDDEN MOOD IMPROVEMENT -
PRIORITY NURSING INTERVENTION
Answer: increase frequency of client observation
increased energy may compel client to act on suicidal ideation
●● CLIENT EXHIBITING COMMAND HALLUCINATIONS FOR
SELF HARM - PRIORITY NURSING INTERVENTION
Answer: place client on one-to-one observation while monitoring
suicidal ideations
●● TRICYCLIC ANTIDEPRESSANTS - NURSING
CONSIDERATION
Answer: Tricyclic antidepressants have a narrow therapeutic range
can be used in overdose to commit suicide
,distributing limited amounts of the medication decreases this potential
●● NURSING DX - HOPELESSNESS
Answer: *Client*
"Nothing will ever get better. Nobody can help me."
*Nursing Dx*
Hopelessness R/T altered mood AEB client statements
●● SUICIDE - FAMILY TEACHING
Answer: be available to actively listen, support and accept feelings
increases potential that a client will confide suicidal ideations to family
members
●● WHEN CLIENT HAS MANY RISK FACTORS FOR SUICIDE -
PRIORITY INTERVENTION
Answer: client should have increased supervision to decrease likelihood
of self-harm
●● SUICIDE RATE - ELDERLY
Answer: eldery comprise 13% of the population, but *account for 15%
of all suicides*
,●● WHEN A CLIENT THREATENS SUICIDE - NURSING
CONSIDERATION
Answer: the more specific the plan is, the more likely the client will
attempt suicide
●● SUICIDE
Answer: the act of taking one's own life
*NOT* a diagnosis, or disorder
the act is a *BEHAVIOR*
●● SUICIDE - FIRST STEP IN DEVELOPING PLAN OF CARE
Answer: assess suicide risk
●● ISOLATIVE BEHAVIORS BASED ON LOW SELF ESTEEM -
OUTCOME/GOAL
Answer: client will be able to express three positive self attributes by a
specified day
●● CLIENT GOALS
Answer: *should be...*
, client centered
specific
realistic
measurable
contain a time frame
●● SUICIDE - NURSING CONSIDERATION
Answer: between 50-80% of all people who kill themselves have a
history of a previous attempt
having a history of suicide places client at a higher risk for current
suicide behaviors
●● SUICIDE RISK FACTORS - MARITAL STATUS
Answer: single-never married 2x more than married person
divorce increases risk
- men 3x more than women
