A psychiatric nurse is assessing four clients who disclosed suicide plans. Which client’s plan demonstrates the highest suicide risk?

A client who has survived a sexual assault arrives in the emergency department and states to the nurse, “I feel so dirty. Help me take a shower before I get examined.”Which interventions should the nurse provide at this time? (Select all that apply.)

As a nurse prepares to administer medication to a client diagnosed with borderline personality disorder, the client says, “Just leave it on the table. I’ll take it when I finish combing my hair.” What is the nurse’s best response?

A male client tells the nurse, “I enjoy watching women when I am out in public. I like to go to places where I can observe women crossing their legs in hopes of seeing something good.” Which statement about this behavior is most accurate?

A nurse is assessing an older adult who self-administers multiple prescribed medications at home.What is the highest priority for assessment to ensure safe medication management?

A nurse and a social worker are co-leading a reminiscence group for eight “young-old” adults (ages 65-74 years). The purpose of the group is to promote psychosocial well-being and support life review.Which activity would be most appropriate to include in the group?

A client diagnosed with serious mental illness (SMI) has been living successfully in a group home but now wishes to move into an apartment. When meeting with a landlord, the client was told, “People like you have trouble getting along and paying their rent.” The client later meets with the nurse for a problem-solving session.Which options should the nurse endorse? (Select all that apply.)

A client on the psychiatric unit dies by suicide. Several family members and close friends are distressed and express feelings of guilt and anger, stating, “We should have seen this coming.” Which intervention is most appropriate for the nurse to recommend to support the family and friends at this time?

A new client at the sleep disorders clinic tells the nurse, “I have not slept well in a year, so I never feel good. I do not expect things will ever improve or be any different.” What interventions should the nurse consider including? Select all that apply.

A college student is extremely upset after failing two examinations. The student tells the nurse, “No one understands how this will hurt my chances of getting into medical school.” Shortly afterward, the student suspends access to his social networking website and turns off his cell phone. Which suicide risk factors are evident in this situation? Select all that apply.