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.)
Nylon socks
Glass framed picture of the client's partner
Lace-up tennis shoes
Cotton underwear
Necklace
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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Correct Answer is A
Explanation
Rationale:
A. The psychiatric pharmacist specializes in the management of medications for clients with mental health conditions and would be the most knowledgeable about potential interactions between psychiatric and diabetes medications.
B. A laboratory technician focuses on conducting lab tests and would not be the appropriate team member to consult regarding medication interactions.
C. While the primary provider oversees the overall care of the client, the psychiatric pharmacist is specifically trained to handle questions about medication interactions, making them the best resource in this scenario.
D. A psychologist typically addresses therapeutic interventions and behavioral therapies, not medication management, making them less suited to answer questions about drug interactions.
Correct Answer is A
Explanation
Rationale:
A. Offering information about a support group is a supportive measure that can help the client manage their condition while parenting.
B. Encouraging children to visit the psychiatric unit may not be appropriate or therapeutic for the client or the children.
C. Suggesting that the children live with other relatives is a significant intervention that may not be necessary without further assessment.
D. Notifying child protective services is not warranted unless there is clear evidence of child neglect or abuse.