NURS : Chapter 21 Exam 2 Study Guide – Nursing Key Concepts

NURSfb1210fbCh21fbExamfb2


Afbstudentfbtellsfbthefbschoolfbnurse,fb"Myfbfriendfbthreatenedfbtofbtakefbanfbove
rdosefboffbpills."fbThefbnursefbtalksfbtofbthefbfriendfbwhofbverbalizedfbthefbsuicid
alfbthreat.fbWhatfbisfbthefbmostfbcriticalfbquestionfbforfbthefbnursefbtofbask?
a.fb"Whyfbdofbyoufbwantfbtofbkillfbyourself?"
b.fb"Dofbyoufbhavefbaccessfbtofbmedications?"
c.fb"Havefbyoufbbeenfbtakingfbdrugsfbandfbalcohol?"

d.fb"Didfbsomethingfbhappenfbwithfbyourfbparents?"fb-fbcorrectfbanswer✔ ✔
B


Thefbnursefbmustfbassessfbthefbpatient'sfbaccessfbtofbafbmeansfbtofbcarryfboutfbthef
bplanfband,fbiffbtherefbisfbaccess,fbalertfbthefbparentsfbtofbremovefbthefb medicatio


nsfbfromfbthefbhome.fbThefbinformationfbinfbthefbotherfbquestionsfbisfbimportant
fbtofbask,fbbutfbitfbisfbnotfbthefb mostfbcritical.




Afbtearfulfbpatientfbatfbthefbmentalfbhealthfbcenterfbsays,fb"Ifbshouldfbbefbdead."fb
Whatfbisfbthefbmostfbimportantfbfirstfbtaskfbforfbthefbnursefbinfbassessingfbthisfbp
atient?
a.fbAscertainfbthefblethalityfboffbthefbsuicidefbplan.
b.fbEstablishfbafbrapportfbwithfbthefbpatient.
c.fbDeterminefbthefbriskfbfactorsfbforfbsuicide.

d.fbEncouragefbexpressionfboffbfeelings.fb-fbcorrectfbanswer✔ ✔ B

,Establishingfbrapportfbwillfballowfbthefbnursefbtofbobtainfbrelevantfbassessment
fbdatafbsuchfbasfbthefbpresencefboffbafbsuicidefbplan,fblethalityfboffbplan,fbandfbpre


sencefboffbriskfbfactorsfbforfbsuicide.


Afbpatientfbbeingfbtreatedfbatfbthefbmentalfbhealthfbcenterfbsays,fb"Ifbamfbhavingf
bthoughtsfbaboutfbsuicide."fbWhatfbisfbthefbnurse'sfb mostfbtherapeuticfbrespons


e?
a.fb"Thankfbyoufbforfbtellingfbme,fbbutfbthere'sfbnothingfbtofbworryfbabout.fbWefb
willfbhandlefbitfbtogether."
b.fb"Tellingfbmefbaboutfbthesefbfeelingsfbisfbafbveryfbpositivefbactionfbonfbyourfb
part."
c.fb"It'sfbimportantfbforfbyoufbtofbbefbhospitalizedfbasfbsoonfbasfbpossible."
d.fb"Let'sfbtalkfbaboutfbthefbthingsfbyoufbhavefbtofblivefbfor."fb-fbcorrectfbanswer
✔ ✔ B


Thisfbresponsefbgivesfbthefbpatientfbreinforcementfbandfbvalidationfbforfbmaki
ngfbafbpositivefbresponsefbratherfbthanfbactingfboutfbafbsuicidalfbimpulse.fbItfbgiv
esfbneitherfbadvicefbnorfbfalsefbreassurance,fbandfbitfbdoesfbnotfbimplyfbstereoty
pesfbsuchfbasfb"Youfbhavefbafblotfbtofblivefbfor."fbItfbusesfbthefbpatient'sfbambivale
ncefbandfbsetsfbthefbstagefbforfbmorefbrealisticfbproblem-solving.


Selectfbthefbmostfbappropriatefbcommentfbbyfbthefbnursefbwhenfbafbdepressedfb
patientfbsays,fb"What'sfbthefbusefbinfbgoingfbon?"

, a.fb"Arefbyoufbthinkingfbaboutfbsuicide?"
b.fb"IfbamfbnotfbsurefbIfbunderstandfbwhatfbyoufbarefbsaying."
c.fb"Keepfbyourfbhopefbalive.fbIt'sfbalwaysfbdarkestfbjustfbbeforefblight."
d.fb"Tellfbmefbmorefbaboutfbyourfbactivitiesfbbeforefbyoufbgotfbdepressed."fb-
fbcorrectfbanswer✔ ✔ A


Thefbpossibilityfboffbsuicidefbmustfbbefbopenlyfbaddressed.fbThefbpatientfboften
fbfeelsfbrelievedfbtofbbefbablefbtofbtalkfbaboutfbsuicidalfbideation.fbThefbsubjectfb


mustfbbefbaddressedfbdirectly.


Afbnursefbcounselsfbafbpatientfbwhofbmadefbafbsuicidefbattemptfb3fbdaysfbago.fb
Whatfbisfbthefbnurse'sfbmostfbtherapeuticfbresponse?
a.fb"I'mfbgladfbyoufbvoluntarilyfbadmittedfbyourselffbtofbthefbhospital.fbWefbcanf
bhelpfbyoufbhere."



b.fb"Whenfbyoufbhavefbbadfbfeelings,fbtryfbtofbrememberfbthefbgoodfbthingsfbabo
utfbyourfblife."
c.fb"Youfbmustfbtakefbcontrolfboffbyourfbproblemsfbandfbtryfbtofbfindfbsolutions."
d.fb"Let'sfbdiscussfbsomefbwaysfbtofbsolvefbyourfbmostfbimportantfbproblem."fb-
fbcorrectfbanswer✔ ✔ D


Thefbnursefbhelpsfbthefbpatientfbtofbdevelopfbeffectivefbcopingfbskills.fbAssistfbt
hefbpatientfbtofbreducefbthefboverwhelmingfbeffectsfboffbproblemsfbbyfbgenerati
ngfbandfbtestingfbwaysfbtofbsolvefbthem.fbThefbdistractersfbpresentfboverwhelm
ingfbapproachesfbtofbproblem-solving.