Chapter 17 Suicide Prevention
A patient is actively suicidal on the inpatient psychiatric unit. What is the priority nurse intervention?
Suicide precautions with 1:1 observation
Defined as a disorder that occurs after the death of a significant other in which the experience of distress accompanying bereavement fails to follow normative expectations and manifests in functional impairment.
Complicated grieving
Is defined as a pervasive and sustained emotion that may have a major influence on a person's perception of the world.
Mood
Characterized by chronic, unrealistic, and excessive anxiety and worry.
GAD
Persistent difficulties discarding or parting with possessions, regardless of their actual value.
Hoarding Disorder
The nursing diagnoses for the suicidal client may include:
Risk for suicide related to feelings of hopelessness and desperation
Hopelessness related to absence of support systems and perception of worthlessness
List foods that clients should avoid while on MAOIs:
Wine; beer
Chocolate; colas
Aged cheese
Sour cream; yogurt
Diet pills
Raisins
Soy sauce
An alteration in mood that may be expressed by feelings of elation, inflated self-esteem, grandiosity, hyperactivity, agitation, racing thoughts, and accelerated speech.
Mania
Fear of specific objects or situations such as (animals, heights) and the person's reaction to them is excessive, unreasonable, and inappropriate.
Specific Phobia
Characterized by recurrent bouts of major depression with episodic occurrence of hypomania.
Bipolar II Disorder
List risk factors for suicide:
Widows and widowers
Divorced men
Single, never-married
What patient education should the nurse provide to the patient prescribed Paroxetine (Paxil)?
Do not discontinue medication abruptly
Take medication as directed
Take missed doses as soon as possible
What patient education should the nurse provide to the patient on Lithium?
Take the medication regularly
Do not drive or operate dangerous machinery
Do not skimp on dietary sodium and maintain appropriate diet
Have serum lithium level checked every 1 to 2 months
The intrusive thoughts that are recurrent and stressful.
Obsessions
An alteration in mood expressed by feelings of sadness, despair, and pessimism.
Depression
Suicide is a diagnosis and not a behavior. (True or false)
False
Symptoms associated with dysthymic disorder to include: helpless, powerless, slumped posture, limited verbalization, difficulty with concentration, sleep disturbance, and headaches.
Moderate depression
What patient education should the nurse provide to the patient prescribed antipsychotics?
Do not discontinue drug abruptly
Use sunblock when outdoors
Avoid ETOH and OTC meds
Continue to take medication, even if feeling well
Faulty, distorted, or counterproductive thinking patterns accompany or precede maladaptive behaviors and emotional disorders.
Cognitive Theory
A severe mental condition in which there is disorganization of the personality, deterioration in social functioning, and loss of contact with, or distortion of, reality.
Psychosis
How do women attempt suicide?
Overdose
This medication is approved by the FDA for the treatment of depression in children and adolescents.
Fluoxetine (Prozac)
Client is experiencing, or has experienced, a full syndrome of manic or mixed symptoms.
Bipolar I disorder
Behavior therapy that is similar to implosion therapy or flooding.
Prolonged Exposure Therapy
Characterized by the exaggerated belief that the body is deformed or defective in some specific way.
Body Dsymorphic Disorder