CRNE Exam Prep

Category - Partnership

Thomas, a 35-year-old stay-at-home dad, is diagnosed with major depression. On assessment, the nurse notes new cutting marks and old scars on his arms and wrists. The nurse suspects that Thomas is suicidal. Which of the following strategies is most appropriate to use with Thomas?
  1. Talk to the client’s spouse to verify whether or not the client is suicidal.
  2. Ask the client if he ever thought about killing himself.
  3. Initiate suicidal precautions.
  4. Inform the client that the cuts and wounds suggest that he is suicidal.
Explanation
Answer: B - The most appropriate strategy is to directly ask the client about suicidal thoughts with care. The client should be assessed directly, not through a family member. Assessment must be done before evaluating whether suicide precautions are necessary. D does not directly address the suspicion.
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