7. A person intentionally overdosed on antidepressants. Which nursing diagnosis has the highest
priority? a. Powerlessness b. Social isolation c. Risk for suicide d. Compromised family coping ANS: C
This diagnosis is the only one with life-or-death ramifications and is therefore of higher priority than the other options.
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PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 25-17, 47 (Table 25-2) TOP: Nursing Process: Diagnosis/Analysis MSC: Client Needs: Psychosocial Integrity
8. A person who attempted suicide by overdose was treated in the emergency department and
nd
_x
then hospitalized. The initial outcome is that the patient will a. verbalize a will to live by the end of the second hospital day. b. describe two new coping mechanisms by the end of the third hospital day. c. accurately delineate personal strengths by the end of first week of hospitalization. d. exercise suicide self-restraint by refraining from attempts to harm self for 24 hours. ANS: D
_a
Suicide self-restraint relates most directly to the priority problem of risk for self-directed violence. The other outcomes are related to hope, coping, and self-esteem.
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PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 25-18 (Case Study and Nursing Care Plan), 38, 47 (Table 25-2) TOP: Nursing Process: Outcomes Identification MSC: Client Needs: Psychosocial Integrity
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9. A college student who attempted suicide by overdose was hospitalized. When the parents
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es
were contacted, they responded, “We should have seen this coming. We did not do enough.” The parents’ reaction reflects a. guilt. b. denial. c. shame. d. rescue feelings.
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ANS: A
eB
The parents’ statements indicate guilt. Guilt is evident from the parents’ self-chastisement. The feelings suggested in the distracters are not clearly described in the scenario.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 25-7 TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
10. Select the most critical question for the nurse to ask an adolescent who has threatened to take
an overdose of pills. a. “Why do you want to kill yourself?” b. “Do you have access to medications?” c. “Have you been taking drugs and alcohol?”
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