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The nurse assesses the speech pattern of the patient’s:

Tiffany is a 16-year-old teenager who has obsessive-compulsive disorder and continually washes her hands until they are cracked and bleeding. She was placed on the inpatient unit on a 5150 after a recent suicide attempt in which she overdosed on her mother’s sleeping pills in the medicine cabinet. She is medically stable and receiving treatment for Major Depression and OCD. You are her assigned nurse, and when you approach her room, you hear her in the bathroom washing her hands.The nurse investigates triggers to Tiffany’s anxiety and rituals by asking (choose the best answer):

Mr. Jones is a 35-year-old male with severe depression and has had failed treatment with SSRIs such as Citalopram (Celexa) and Fluoxetine (Prozac). He has passive suicide ideation and has recently been unemployed after his anergia, poor concentration, and anhedonia. He has also lost 20 lbs in the last 3 months and has a poor appetite. He is scheduled for ECT tomorrow, and you are his nurse.These non-medication modalities may also be effective for Mr. Jones’ depression, and they include (select all that apply):

Mr. Jones is a 55-year-old divorced white male who was recently fired from his job. He lives alone in an apartment, and his sister, who lives nearby, called the police when she found no food in his refrigerator, his house was in shambles, and he threatened “to shoot himself.” When the police arrived, they placed him on an involuntary hold 5150 for danger to self (DTS). You are his admitting nurse in Psychiatric Emergency. In the ambulance, his blood pressure is 180/96, his pulse is 96, respirations are 20 with pulse ox at 99%, and his temperature is 98.6. He looks down and is moving around a lot in his chair.Mr. Jones endorses these common symptoms of major depression (select all that apply):

Edward is a 20-year-old college student. The student’s roommates tell the school nurse that their friend has seemed more moody than usual since a grandparent died of a COVID-19 infection last month. They also report that the patient sleeps all day and sometimes doesn’t wake up until noon or later. They tell the nurse that they invite the patient to go with them to the dining hall most meals, but he declines most of the time and, when he does go, he will only eat a few bites. Edward admits to feeling “empty most days” and “doesn’t do much most days” and that “nothing is really fun anymore.”Edward states he “abandoned his grandfather who died alone in the ICU.” The nurse determines his depressive symptoms may be complicated due to “survivor’s guilt” and identifies his grief as (choose the best answer):

Mr. Jones is a 55-year-old divorced white male who was recently fired from his job. He lives alone in an apartment, and his sister, who lives nearby, called the police when she found no food in his refrigerator, his house was in shambles, and he threatened “to shoot himself.” When the police arrived, they placed him on an involuntary hold 5150 for danger to self (DTS). In the ambulance, his blood pressure is 180/96, his pulse is 96, respirations are 20 with pulse ox at 99%, and his temperature is 98.6. He looks down and is moving around a lot in his chair.When conducting an admission assessment for Mr. Jones on the psychiatric unit, your first nursing priority is (select the best answer):

A client is taking an MAOI inhibitor such as Nardil, an old class of antidepressant rarely used because of food interactions with items such as (choose the correct answer):

The nurse is evaluating if a patient who made a suicide attempt several days ago is recovering. Which observation suggests the patient’s mood is improving? (Choose the correct answer)

Edward is a 20-year-old college student. The student’s roommates tell the school nurse that their friend has seemed more moody than usual since a grandparent died of a COVID-19 infection last month. They also report that the patient sleeps all day and sometimes doesn’t wake up until noon or later. They tell the nurse that they invite the patient to go with them to the dining hall most meals, but he declines most of the time and, when he does go, he will only eat a few bites. Edward admits to feeling “empty most days” in the last month and has skipped many of his classes due to feeling “too tired to attend.” Edward reports that he “doesn’t do much most days” and that “nothing is really fun anymore.”When Edward enters the “Grief Support Group,” he discusses how frustrating it is and says, “I would like to punch my aunt for not calling me first and letting me know what was happening.” This statement can reflect what stage of grief according to Kubler-Ross (select the best answer):

Mr. Jones is a 35-year-old male with severe depression and has had failed treatment with SSRIs such as Citalopram (Celexa) and Fluoxetine (Prozac). He has a passive suicide ideation and has recently been unemployed after his anergia, poor concentration, and anhedonia. He has also lost 20 lbs in the last 3 months and has a poor appetite. He is scheduled for ECT tomorrow, and you are his nurse.Some important considerations prior to ECT may be on a Pre-Op checklist that the nurse completes and some interventions include (select all that apply):

Which age group is most likely to be at risk for social isolation and have chronic health problems that lead to suicidal risk? (choose the correct answer)