A family member of an adolescent who has expressed a desire to commit suicide asks the nurse, 'What might predict the possibility of future suicide attempts?' Which of the following would the nurse include in the response?

Correct Answer: C

Rationale: The correct answer is C: Previous suicide attempt. This is a critical risk factor for future suicide attempts as individuals who have previously attempted suicide are at a higher risk of attempting it again. It indicates underlying mental health issues and distress. Unemployment (A), Death of a spouse (B), and Polydrug use (D) are also risk factors for suicide, but not as strong predictors as a previous suicide attempt. Unemployment and loss of a loved one can contribute to feelings of hopelessness, while polydrug use can impair judgment, but they do not directly indicate a previous suicide attempt like choice C does.

Correct Answer: B

Rationale: Step-by-step rationale: 1. Step 2 in AA involves believing in a higher power's ability to help overcome alcoholism. 2. The client stating "I realize that there is a higher power that can help me" aligns with step 2. 3. This step acknowledges the need for external support beyond oneself in the recovery process. 4. Choice A refers to step 9, making amends. Choice C refers to step 1, admitting powerlessness. Choice D refers to step 8, making amends.

Correct Answer: D

Rationale: The correct answer is D: "Would you like to play a game of checkers with me?" This choice is most appropriate as it focuses on building a therapeutic relationship through a non-threatening and engaging activity. Playing a game of checkers can help establish rapport, foster trust, and create a sense of normalcy for the child in a psychiatric setting. It allows for social interaction, provides a distraction, and can help the child feel more comfortable and open up to the nurse. Explanation of why the other choices are incorrect: A: Comparing the child's situation to Cinderella's in a fairy tale may not be relatable or relevant to the child's experiences, potentially minimizing their feelings and concerns. B: Using a tool to measure self-control and initiative may come off as clinical and impersonal, possibly making the child feel like they are being evaluated rather than supported. C: Asking the child to draw a picture of themselves may be intimidating or invasive, as it delves into personal expression without

Correct Answer: C

Rationale: The correct answer is C: Imbalanced nutrition. This is the priority because it addresses the client's physiological needs, which are essential for survival and overall well-being. The nurse should prioritize addressing basic needs such as nutrition before addressing psychological or social needs. Anxiety (A), powerlessness (B), and impaired social interaction (D) are important but secondary to addressing the client's immediate physiological needs. It is important to address the most critical issue first to ensure the client's health and safety.

Correct Answer: C

Rationale: The correct answer is C because it shows a mentally healthy perspective of taking responsibility and being proactive in making positive changes for the benefit of the family. By acknowledging the need for personal growth and willingness to change behavior, this family member demonstrates self-awareness and a commitment to improving relationships. Choice A is incorrect as it deflects responsibility by comparing oneself to others. Choice B reminisces about the past without addressing current issues or solutions. Choice D is not a healthy approach as it suggests avoidance rather than addressing and working through familial conflicts.