Comprehensive exams for Mental Health Q 173

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Which of the following activities would Nurse Trish recommend to the client who becomes very anxious when thoughts of suicide occur?

  

     A. Using exercise bicycle

     B. Meditating

     C. Watching TV

     D. Reading comics

    

    

Correct Answer: A. Using exercise bicycle

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Using exercise bicycle is appropriate for the client who becomes very anxious when thoughts of suicide occur. Educate the patient cognitive-behavioral self-management responses to suicidal thoughts. The patient learns to identify negative thoughts and develops positive approaches and positive thinking.

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Option B: Render close patient supervision by sustaining observation or awareness of the patient at all times. Suicide may be an impulsive act with little or no warning. Close supervision is a must. Provide a safe environment. Weapons and pills should be removed by friends, relatives, or the nurse. Removing potentially harmful objects prevents the patient from acting or sudden self-destructive impulses.

Option C: Present opportunities for the patient to express thoughts, and feelings in a nonjudgmental environment. It is helpful for the patient to talk about suicidal thoughts and intentions to harm themselves. Expressing their thoughts and feelings may lessen their intensity. Also, they need to see that staff are open to discussion.

Option D: Create a verbal or written contract stating that the patient will not act on impulse to do self-harm. This method establishes permission to talk about the subject. Stay with the patient more often. This approach provides the patient with a sense of security and strengthens self-worth.

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