A 65-year-old recently retired salesman is brought to the psychiatric hospitalby
ID: 122447 • Letter: A
Question
A 65-year-old recently retired salesman is brought to the psychiatric hospitalby his wife. His wife states that since his retirement he is listless and roamsaround the house complaining that he has nothing to do. The patient states“Without a job I have no purpose in life.” His wife adds that he has recentlylost 10 pounds and sleeps for only two to three hours each night. In order toprioritize the patient’s nursing care, the nurse should assess which of thefollowing areas FIRST?a. suicidal ideationb. level of insight into his problemc. nutritional deficienciesd. motivation to solve his personal problems
Explanation / Answer
ANS: A. Suicidal ideation.
Explanation: Suicidal thoughts are commonly known as suicidal ideation. These are the thoughts about how to kill oneself, which can range from a detailed plan to a fleeting consideration and does not include the final act of killing oneself. The majority of people who experience suicidal ideation do not carry it through.
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