Nr326 - Exam 2 Review

NR326 - EXAM 2 REVIEW SUICIDE PRECAUTIONS - PRIORITY NURSING INTERVENTION one-to-one observation SUICIDAL CLIENT - PRIORITY OUTCOME/GOAL the client will remain safe during the hospital stay SUICIDAL CLIENT WITH SUDDEN MOOD IMPROVEMENT - PRIORITY NURSING INTERVENTION 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 place client on one-to-one observation while monitoring suicidal ideations TRICYCLIC ANTIDEPRESSANTS - NURSING CONSIDERATION 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 Client "Nothing will ever get better. Nobody can help me." Nursing Dx Hopelessness R/T altered mood AEB client statements SUICIDE - FAMILY TEACHING 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 client should have increased supervision to decrease likelihood of self-harm SUICIDE RATE - ELDERLY eldery comprise 13% of the population, but account for 15% of all suicides WHEN A CLIENT THREATENS SUICIDE - NURSING CONSIDERATION the more specific the plan is, the more likely the client will attempt suicide SUICIDE 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 assess suicide risk ISOLATIVE BEHAVIORS BASED ON LOW SELF ESTEEM - OUTCOME/GOAL client will be able to express three positive self attributes by a specified day CLIENT GOALS should be... client centered specific realistic measurable contain a time frame SUICIDE - NURSING CONSIDERATION 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 single-never married 2x more than married person divorce increases risk - men 3x more than women divorced men 2x more than married men widows/widowers have increased risk SUICIDE RISK FACTORS - GENDER women attempt suicide more often, but more men succeed women tend to overdose, while men use more lethal means (i.e. firearms) SUICIDE RISK FACTORS - AGE risk increases with age, particularly with men Highest Rate of Suicide - 45 - 64 years old group - those 85 and older MOST COMMON METHOD OF SUICIDE IN ADOLESCENTS Adolescent Males firearms Adolescent Females suffocation SUICIDE RISK FACTORS - RELIGION affiliation with religious group DECREASES risk SUICIDE RISK FACTORS - SOCIOECONOMIC STATUS