It has been 5 days since a suicidal patient was hospitalized and prescribed an antidepressant medication. The patient is now more talkative and shows increased energy. Select the highest priority nursing intervention.

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Psychiatric Emergencies Questions

Question 1 of 5

It has been 5 days since a suicidal patient was hospitalized and prescribed an antidepressant medication. The patient is now more talkative and shows increased energy. Select the highest priority nursing intervention.

A. Supervise the patient 24 hours a day B. Begin discharge planning for the patient C. Refer the patient to art and music therapists D. Consider discontinuation of suicide precautions

Correct Answer: A

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

Question 2 of 5

A patient was arrested for breaking windows... Which nursing diagnosis has priority?

A. Risk for injury B. Ineffective coping C. Impaired social interaction D. Risk for other-directed violence

Correct Answer: D

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

Question 3 of 5

An intramuscular dose of antipsychotic medication needs to be administered... The nurse should:

A. Say, “Would you like to come to your room and take some medication...?” B. Accompanied by 3 staff, say, “Please come to your room so I can give you some medication...” C. Place the patient in a basket-hold and then say, “I am going to take you to your room...” D. Accompanied by a guard, tell the patient, “Come to your room willingly...”

Correct Answer: B

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

Question 4 of 5

Which is an effective nursing intervention to assist an angry patient... without violence?

A. Help a patient identify a thought that produces anger, evaluate it, and substitute reality-based thinking. B. Provide negative reinforcement such as restraint or seclusion... C. Use aversive conditioning, such as popping a rubber band on the wrist... D. Administer an antipsychotic or anti-anxiety medication.

Correct Answer: A

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

Question 5 of 5

A patient with multi-infarct dementia lashes out... Intervention should begin by:

A. Gently touching the patient’s arm. B. Asking the patient, “What do you need?” C. Saying to the patient, “This is a safe place.” D. Directing the patient to cease the behavior.

Correct Answer: C

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

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