ATI LPN
Test Bank for Essentials of Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care, 4e 4th Edition
Chapter 23 Questions
Question 1 of 5
Which change in brain biochemical function is most associated with suicidal behavior?
Correct Answer: B
Rationale: Research suggests that low levels of serotonin may play a role in the decision to commit suicide. The other neurotransmitter alterations have not been implicated in suicidal crises.
Question 2 of 5
After failing two tests, a college student cried for hours and then tried to telephone a parent but got no answer. The student then gave several expensive sweaters to a roommate. Which behavior provides the strongest clue of an impending suicide attempt?
Correct Answer: C
Rationale: Giving away prized possessions may signal that the individual thinks he or she will have no further need for the items, such as when a suicide plan has been formulated. Calling parents and crying do not provide clues to suicide, in and of themselves. Remaining in the dormitory would be an expected behavior because the student has nowhere else to go.
Question 3 of 5
A nurse uses the modified SAD PERSONS scale to interview a patient. This tool provides data relevant to assessing what?
Correct Answer: C
Rationale: The modified SAD PERSONS tool evaluates major risk factors in suicide potential: sex, age, depression, previous attempt, ethanol use, rational thinking loss, stated future intent, organized plan, separated/widowed/divorced, and sickness. The tool does not have appropriate categories to provide information on the other options listed.
Question 4 of 5
When a person intentionally overdoses on antidepressant drugs, which nursing diagnosis has the highest priority?
Correct Answer: C
Rationale: This diagnosis is the only one with life-or-death ramifications and is therefore higher in priority than the other options.
Question 5 of 5
A person attempts suicide by overdose, is treated in the emergency department, and then hospitalized. What is the best initial patient outcome?
Correct Answer: D
Rationale: Suicide self-restraint relates most directly to the priority problem of risk for suicide. The incorrect outcomes are related to hope, coping, and self-esteem.