A patient diagnosed with major depression has lost pounds in one month, has chronic low self-esteem, and a plan for suicide The patient has taken an antidepressant medication for week Which nursing intervention has the highest priority?

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Behavioral Health Certification for Nurses Questions

Question 1 of 5

A patient diagnosed with major depression has lost pounds in one month, has chronic low self-esteem, and a plan for suicide The patient has taken an antidepressant medication for week Which nursing intervention has the highest priority?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A nurse prepares to assess a new patient who moved to the United States from Central America three years ago. After introductions, what is the nurses next comment?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A patient shows no facial expression when engaging in a game with peers during an outing at a park. The nurse uses which of the following terms when documenting the patient's affect?

Correct Answer: D

Rationale: Common terms used in assessing affect include blunted affect: showing little or a slow-to-respond facial expression; broad affect: displaying a full range of emotional expressions; flat affect: showing no facial expression; inappropriate affect: displaying a facial expression that is incongruent with mood or situation, often silly or giddy regardless of circumstances; restricted affect: displaying one type of expression, usually serious or somber.

Question 4 of 5

Knowing that relationships with others are significant to mental health, the nurse effectively assesses a patient's family relationships through which of the following?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Which of the following is the most compelling reason for the nurse to discuss matters of sexuality and suicide?

Correct Answer: B

Rationale: It is the nurse's professional responsibility to keep the client's safety needs first and foremost, and this includes overcoming any personal discomfort in talking about suicide. This is not required by any laws nor is it commonly required documentation for every encounter with every client. The nurse needs to gain experience in these kind of difficult discussions, but that is not a compelling reason for the nurse to discuss it if not warranted.

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