Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5033

Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5033

QUESTION: A client tells the nurse that he is having suicidal thoughts every day. In conferring with the treatment team, the nurse should make which recommendation?

✘O a.) A no-suicide contract
✘O b.) Weekly outpatient therapy
✘O c.) A second psychiatric opinion
✓O d.) Intensive inpatient treatment

RATIONALE

RATIONALE: Inpatient care is the best intervention for a client who is thinking about suicide every day. Implementing a no-suicide contract is an important strategy, but this client requires additional care. Weekly therapy wouldn't provide the intensity of care that this case warrants. Obtaining a second opinion would take time; this client requires immediate intervention.
NURSING PROCESS STEP: Planning
CLIENT NEEDS CATEGORY: Safe, effective care environment
CLIENT NEEDS SUBCATEGORY: Safety and infection control
COGNITIVE LEVEL: Comprehension