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Zorluk: ZorCrisis Intervention

A client in an outpatient neurology clinic has just been informed of a progressive, life-altering neurological diagnosis. The client sits rigidly in the chair, staring blankly at the wall, and states in a flat tone, 'My future is gone. There is no point in trying to go on anymore.' Which action is the priority for the nurse to take?

  1. Ask the client explicitly if they are thinking about ending their life.Cevap
  2. B
    Maintain a supportive silence to allow the client space to absorb the information.
  3. C
    Encourage the client to explain exactly why they feel their future is hopeless.
  4. D
    Inform the client about advanced treatment options to instill a sense of hope.

Cevap

Ask the client explicitly if they are thinking about ending their life.
During an acute situational crisis, ensuring client safety is the paramount concern. The statement about having 'no point in trying to go on' is a strong, covert indicator of hopelessness and potential suicidal ideation. According to the nursing process and safety prioritization principles, the nurse must immediately and directly assess the client's risk for self-harm before proceeding to other supportive, empathetic, or educational interventions.

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1
Analyze the client's presentation and verbal statements.
The client is exhibiting signs of an acute situational crisis with a statement ('no point in trying to go on anymore') that suggests hopelessness and potential self-harm.
Identifying covert or overt threats is the first step in psychiatric triage.
2
Apply prioritization frameworks (e.g., Maslow's Hierarchy, Safety/Risk Reduction).
Psychological and physical safety must be secured before addressing self-esteem, coping, or educational needs.
A client cannot successfully process grief or learn about treatments if their immediate survival is at risk.
3
Select the intervention that most directly addresses the highest priority need.
Directly assessing for suicidal ideation addresses the immediate safety risk.
Direct questioning is the standard of care for evaluating self-harm risk in a crisis.

Anahtar Kavram

Prioritizing Safety and Lethality Assessment in Crisis Intervention
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Konular

Crisis Intervention

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