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Chapter 22: Suicide Prevention and Intervention

Psychiatric Mental Health Nursing 5th Edition By Fortinash

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Chapter 22: Suicide Prevention and Intervention

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. Which suicide is an example of Durkheim’s anomic suicide?
a. A Muslim who was disgraced by a family member
b. A woman whose life savings were embezzled from her
c. A suicide bomber who blows up a bus in the middle East
d. A convicted rapist who has been given a life sentence

 

ANS: B

Anomic suicides are acts of self-destruction by individuals who have become alienated from important relationships in their groups, especially as this relates to their standard of living. Durkheim characterized egoistic suicides as the self-inflicted deaths of individuals who turn against their own conscience. Altruistic suicides are self-inflicted deaths on the basis of obedience to a group’s goals rather than reflecting the person’s own best interests. Durkheim defined fatalistic suicides as self-inflicted deaths that result from excessive regulation.

 

DIF:   Cognitive Level: Application        REF:  Page 503

TOP:  Nursing Process: Assessment        MSC: NCLEX: Psychological Integrity

 

  1. The nurse administering an antidepressant to a suicidal patient understands that the brain abnormality the medication addresses is:
a. Atrophy of the brain
b. Enlarged lateral ventricles
c. Irregularities in the serotonin system
d. Abnormal electroencephalogram (EEG) readings

 

ANS: C

Antidepressants regulate serotonin levels, which is a chemical that is involved the development of depression. There is no research to support brain atrophy or enlarged lateral ventricles as being related to the development of depression. EEG readings are designed to assess the electrical activity of the brain.

 

DIF:   Cognitive Level: Comprehension  REF:  Page 504

TOP:  Nursing Process: Implementation MSC: NCLEX: Physiological Integrity

 

  1. A family member of a suicidal patient asks, “Are there any medications that can prevent a person from committing suicide?” Which statement best answers the question?
a. If people want to harm themselves, they eventually will.
b. Antipsychotic medications are used primarily for suicide prevention.
c. Antidepressants treat mood disorders that accompany suicidal ideation.
d. There are no medications available that specifically affect suicidal behavior.

 

ANS: C

Although there is no medication to prevent suicide, the most constructive answer informs the family that mood disorders are often accompany by suicidal ideation, and antidepressants can treat these. Antipsychotic medications are not generally used for depression. The remaining option lacks empathy and does not accurately answer the question.

 

DIF:   Cognitive Level: Application        REF:  Page 504

TOP:  Nursing Process: Implementation MSC: NCLEX: Psychological Integrity

 

  1. Which intervention would the nurse implement when a patient’s frontal lobe is affected?
a. Educating the patient on the affects of dopamine
b. Helping the patient identify reasons for crying
c. Assessing the patient for any suicidal ideations
d. Evaluating the affects of medication on motivation

 

ANS: C

Researchers believe that frontal lobe dysfunction is related to feelings of hopelessness and worthlessness, both of which are signs of suicidal thoughts. The remaining options are related to symptoms that are associated with the limbic system.

 

DIF:   Cognitive Level: Application        REF:  Page 504        TOP:  Nursing Process: Planning

MSC: NCLEX: Psychological Integrity

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