Principles And Practice of Psychiatric Nursing,10th Edition by Gail Wiscarz Stuart
Principles And Practice of Psychiatric Nursing,10th Edition by Gail Wiscarz Stuart
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Chapter 19: Self-Protective Responses and Suicidal Behavior
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | scratches both wrists with safety pins |
| b. | drinks nearly 1 quart of whiskey per day |
| c. | took an overdose of sedative-hypnotic drugs |
| d. | calls a friend when contemplating suicide |
ANS: B
Direct self-destructive behavior includes any form of suicidal threats, attempts, gestures, and completed suicide. Indirect self-destructive behavior is any behavior that is detrimental to the person’s physical well-being and that may potentially result in death.
DIF: Cognitive Level: Application REF: Text Page: 324
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | Death anxiety |
| b. | Chronic low self-esteem |
| c. | Disturbed body image |
| d. | Disturbed personal identity |
ANS: B
To think about or attempt self-destruction, the individual must have low self-regard.
DIF: Cognitive Level: Analysis REF: Text Page: 324
TOP: Nursing Process: Nursing Diagnosis
MSC: NCLEX: Psychosocial Integrity
| a. | denial. |
| b. | projection. |
| c. | dissociation. |
| d. | displacement. |
ANS: A
The most prominent behavior associated with noncompliance is refusal to admit the seriousness of the illness. This denial interferes with acceptance of treatment.
DIF: Cognitive Level: Application REF: Text Page: 325
TOP: Nursing Process: Planning MSC: NCLEX: Psychosocial Integrity
| a. | sense of control. |
| b. | sense of well-being. |
| c. | fear of the sequelae of illness. |
| d. | dependence on health care workers. |
ANS: A
Noncompliant people struggle for control. Serious illness is seen as a betrayal by the body. Patients wish to reassert control and prove mastery over their bodies.
DIF: Cognitive Level: Analysis REF: Text Page: 325
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and Maintenance
| a. | a need to control or a need to be controlled. |
| b. | the wish to relieve tension or the wish to die. |
| c. | been diagnosed with a developmental disorder or psychosis. |
| d. | a tendency toward indirect or direct expression of self-destructive urges. |
ANS: B
The lethality of self-injury is usually low, and patients who self-injure seek relief of tension. Suicide attempts are directed by the wish to die. Care-planning strategies will differ based on underlying patient motivation.
DIF: Cognitive Level: Comprehension REF: Text Page: 326
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and Maintenance
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