The nurse is performing a focused assessment on a client experiencing depression. The client makes the statement that life and trying to live are useless. How should the nurse respond to the client?
1. Why do you feel like this?
2. You shouldn't feel like that.
3. Shall I call your children?
4. Have you thought about hurting yourself?
Question 2A client who lost a spouse 6 months ago and had to sell their house is admitted to a long-term care facility. The nurse notes that the client isolates, refuses to participate in any activities, and eats very little. The nurse determines that:
1. the client is sad.
2. the client might be a suicide risk.
3. the client misses the family.
4. the client is not hungry.
Question 3The nurse is assessing a client who has threatened to commit suicide. The next action by the nurse would be to:
1. determine what the plan is.
2. notify the physician.
3. determine access to the plan.
4. assess the lethality of the plan.
Question 4The nurse is caring for a client experiencing depression and who is a known risk for suicide. The nurse observes that the client appears to be happy and has been giving some treasured possessions away during the day.
The nurse should assess the client for:
1. possibility for discharge.
2. overdose of medication.
3. a plan for suicide.
4. planned violence towards others.
Question 5A client who experiences a mood disorder asks the nurse how antidepressants work to restore mood balance. The nurse should tell the client that:
1. medications induce happiness.
2. neurotransmitter function is restored.
3. medications restore oxygen to the brain.
4. medication enhances brainstem functioning.
Question 6The brother of a client with schizophrenia says to the nurse: I would like to help my brother, but he just doesn't seem to understand he has a serious psychological problem. He tells me he is fine and that he just gets a little weird occasionally.
The nurse should explain:
1. This is why it is so difficult to treat, since lack of insight is a large part of the disease.
2. Because of the stigma attached to mental illness, most people with schizophrenia won't tell others they have the disease.
3. Many people with schizophrenia use denial as a coping mechanism.
4. He needs to take his medications when having psychotic episodes.
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