Which method would a nurse use to determine a client's potential risk for suicide?

Correct Answer: C

Rationale: The correct answer is C because questioning the client directly about suicidal thoughts is an evidence-based practice known as suicide risk assessment. It allows the nurse to gather crucial information on the client's mental state and intent. This direct approach can help identify potential risk factors and allow for appropriate interventions to be implemented promptly. Choice A is incorrect because waiting for the client to bring up the subject of suicide may delay necessary intervention. Choice B is incorrect as solely observing behavior may not provide enough information for an accurate assessment. Choice D is incorrect because questioning about future plans does not directly address the client's potential risk for suicide.

Correct Answer: C

Rationale: The correct answer is C: Diuretics. Diuretics can reduce lithium excretion, leading to increased lithium levels and potential toxicity. Other choices are incorrect because: A: Antacids may actually help reduce lithium absorption. B: Antibiotics do not have a direct interaction with lithium. D: Hypoglycemic agents do not affect lithium levels. In summary, diuretics are the only medication that can significantly increase the risk of lithium toxicity due to their impact on lithium excretion.

Correct Answer: C

Rationale: The correct answer is C because in a community approach setting in psychiatric nursing, the focus is on helping clients integrate into society and function independently. By demonstrating self-reliance and social adaptation, clients can better navigate their daily lives and relationships. This approach promotes long-term stability and well-being. A: While performing activities of daily living and learning crafts are important, they do not necessarily address the client's ability to adapt socially. B: Preventing aggressive behavior and monitoring medications are more individual-focused goals rather than community-oriented outcomes. D: Anxiety relief and symptom education are valuable, but they do not directly address the client's ability to adapt and function within a community setting.

Correct Answer: C

Rationale: The correct answer is C because understanding the family's perception of the current problem is crucial to building rapport and developing a comprehensive assessment. By exploring the family's perspective, the nurse can gain insight into their understanding of the situation, beliefs, and potential barriers to intervention. This information can guide the nurse in formulating an appropriate plan of care that aligns with the family's values and needs. Choice A (The child's performance in school) may provide valuable information but is not as essential as understanding the family's perception of the problem. Choice B (Family education and work history) is important but not a priority at this stage. Choice D (The teacher's attempt to solve the problem) is also relevant but not as critical as understanding the family's viewpoint.

Correct Answer: A

Rationale: The correct answer is A because touch carries a different meaning for different individuals. This statement acknowledges the importance of individual preferences and boundaries in therapeutic touch. It emphasizes the necessity of understanding and respecting each client's unique perspective on touch. Explanation of why other choices are incorrect: B: This statement oversimplifies the use of touch in de-escalating volatile situations and does not address the complexity of touch in therapeutic communication. C: While touch can convey interest and warmth, this statement does not encompass the full range of meanings and implications that touch can have in therapeutic interactions. D: While empathy is important in conjunction with touch, this statement does not capture the diversity of meanings that touch can hold for clients.