Question

When caring for a client on suicide precautions, which items should the nurse remove from the room? Mark all that apply. a. Hand mirror b. Nail file c. Aerosol deodorant d. Alcohol based mouth wash e. Nail polish remover f. Matches

Short answer

Remove a, b, c, d, e, and f.

Step-by-step solution

- Understand the Question

The question asks which items should be removed from a room to ensure the safety of a client on suicide precautions. It’s important to identify items that could potentially be used for self-harm.

- Evaluate Each Item

Review each listed item to determine if it could be dangerous: a. Hand mirror - Can be broken and used for self-harm. b. Nail file - Can be used as a sharp object for self-harm. c. Aerosol deodorant - Inhalation risks, potential for misuse. d. Alcohol based mouth wash - Contains alcohol, potential poisoning risk. e. Nail polish remover - Contains chemicals, potential poisoning risk. f. Matches - Fire hazard and self-harm risk.

- Mark All that Apply

Based on the evaluation: a, b, c, d, e, and f are all items that should be removed because they pose various risks of harm or misuse.

Key concepts

Suicide Precautions

Caring for clients on suicide precautions is crucial in mental health nursing. The main goal is to ensure that the environment is free from any objects that could potentially be used for self-harm. This involves a thorough inspection and removal of various items from the client's room. Examples include sharp objects, toxic substances, and anything that could be used to start a fire.
Items like hand mirrors and nail files can easily be used for cutting. Aerosol deodorants and nail polish remover contain chemicals that can be misused. Alcohol-based mouthwash poses poisoning risks, and matches can be used to start a fire.
Always carry out routine checks and keep communication open with the client to understand their needs and state of mind.

Client Safety

Ensuring client safety is a fundamental aspect of nursing care, especially in mental health settings. Here are some key considerations:

• Remove all potentially harmful objects from the client's environment.
• Conduct regular safety checks to ensure no hazardous materials are introduced.
• Maintain close supervision, particularly if the client has a history of self-harm or suicidal thoughts.

Communication is essential. Encourage clients to express their feelings and make sure they know they are not alone. Safe handling of clients involves understanding their emotional and psychological needs.
Always document your safety measures and observations diligently.

Nursing Care Guidelines

Nursing care guidelines for mental health and suicide precautions include standardized procedures to ensure clients' safety. Here are some basic steps to follow:

• Conduct a thorough risk assessment upon admission.
• Create a safe and supportive environment with minimal triggers.
• Follow facility protocols for restricting access to potentially dangerous items.
• Implement therapeutic interventions, including counseling and support groups.
• Ensure medication is administered as prescribed and monitor for side effects.
• Keep detailed records of client interactions, interventions, and observations.

Always stay informed about the latest care guidelines and continue your education in mental health nursing.

Mental Health Nursing

Mental health nursing focuses on supporting individuals with mental illnesses by developing therapeutic relationships and using evidence-based practices. Key aspects include:

• Understanding the psychological, emotional, and social aspects of mental health.
• Using effective communication skills to build trust and rapport with clients.
• Implementing individualized care plans tailored to each client's needs.
• Encouraging client participation in their care and decision-making processes.

Mental health nurses must possess empathy, patience, and strong observational skills. Collaboration with a multidisciplinary team is often necessary to provide comprehensive care.
Continuous education and self-awareness are vital components to staying effective in mental health nursing.