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A nurse on an acute care mental health unit is examining the belongings of a client who is being admitted following a suicide attempt. Which of the following belongings should the nurse ask the client's partner to take back home? (Select All that Apply.)

A.

Nylon socks

B.

Glass framed picture of the client's partner

C.

Lace-up tennis shoes

D.

Cotton underwear

E.

Necklace

Question Solution

Correct Answer : B,C,E

Rationale:

 

A. Nylon socks are generally not considered a risk for self-harm and can be safely kept with the client.

 

B. A glass-framed picture presents a risk as the glass could be broken and used for self-harm. This item should be taken home.

 

C. Lace-up tennis shoes have long laces that could be used for self-harm, making them unsafe for a client at risk of suicide.

 

D. Cotton underwear does not pose a significant risk for self-harm and can be kept with the client.

 

E. A necklace could be used for self-harm, such as strangulation, and should be taken home to ensure the client's safety.


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View Related questions

Correct Answer is ["B","D","E"]

Explanation

Rationale:

A. The Harvard Implicit Association Test (IAT) measures implicit biases and is not used specifically for assessing suicide risk.

B. The PHQ-9 (Patient Health Questionnaire-9) is a validated tool for screening, diagnosing, monitoring, and measuring the severity of depression, which is closely related to suicide risk.

C. The Altman Self-Rating Mania Scale is used to assess the severity of manic symptoms in clients with bipolar disorder, not for suicide risk assessment.

D. The SAD PERSONS scale is a tool specifically designed to assess suicide risk based on key risk factors.

E. The SAFE-T (Suicide Assessment Five-Step Evaluation and Triage) is a comprehensive framework for assessing suicide risk, making it an appropriate tool to include in suicide risk assessments.

Correct Answer is D

Explanation

Rationale:

A. This statement may indicate prolonged grief or depression but does not specifically point to the guilt or distress seen in traumatic grief.

B. This describes a physiological response to flashbacks, which is more indicative of post-traumatic stress disorder (PTSD) rather than traumatic grief.

C. This statement reflects emotional suppression, which can be common in military culture but does not directly indicate traumatic grief.

D. Expressing survivor's guilt, as in feeling that they should have died instead of their friend, is a hallmark of traumatic grief and indicates the client is struggling with the loss in a deeply distressing way.

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