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Shock types

The nurse is caring for a client who is hospitalized for major depressive disorder. Which findings should the nurse recognize as warning signs that require an immediate suicide risk assessment? Select all that apply.

  1. AThe client gives a favorite watch to a roommate.
  2. BThe client asks to attend the unit's morning exercise group.
  3. CThe client, who had been withdrawn and tearful, suddenly appears calm and cheerful.
  4. DThe client says, "Soon none of this will matter anymore."
  5. EThe client asks what time visiting hours start so a sister can visit.
  6. FSeveral of the client's tablets are found hidden in a sock in the bedside drawer.
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Answer

A, C, D, F

A: Giving away a valued possession can be a warning sign. B: Interest in exercise alone is not a recognized suicide warning sign. C: Sudden calm after severe distress can warrant renewed risk assessment. D: A statement of finality can suggest suicidal thinking. E: Planning a supportive visit alone is not a recognized warning sign. F: Hoarded tablets can provide means for self-harm.

A

Giving away a valued possession can be a warning sign.

B

Interest in exercise alone is not a recognized suicide warning sign.

C

Sudden calm after severe distress can warrant renewed risk assessment.

D

A statement of finality can suggest suicidal thinking.

E

Planning a supportive visit alone is not a recognized warning sign.

F

Hoarded tablets can provide means for self-harm.

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ID: Q20