NCLEX CRUSADE ACADEMY TEST - 10 SUICIDE BEHAVIOR

1. A nurse identifies a patient actively expressing suicidal ideation. According to NCLEX safety principles, what is the nurses FIRST priority?. Provide counseling about coping strategies. Ensure the patients immediate physical safety. Document the patients feelings. Notify the patients family.

2. Which factor is considered the strongest predictor of future suicide attempts?. Family history of depression. Previous suicide attempts. Recent job loss. Social isolation.

3. A nurse assessing suicide risk should FIRST ask which direct question?. How are you feeling today?. Do you ever feel sad?. Are you thinking of killing yourself?. Why do you feel this way?.

4. After confirming suicidal thoughts, what is the NEXT assessment question the nurse should ask?. Do you have a specific plan?. What triggered your sadness?. Do you feel anxious?. Do you want to talk to family?.

5. Which assessment finding indicates the HIGHEST suicide risk?. Passive thoughts of death. A detailed suicide plan with access to means. Occasional sadness. Mild anxiety.

6. Which behavior signals acute suicide danger?. Participating in therapy. Planning future activities. Giving away prized possessions. Asking for help.

7. Which patient statement requires immediate suicide assessment?. I am tired today. My family would be better off without me. I need a vacation. I feel a little stressed.

8. Which nursing intervention is most appropriate for a patient with active suicide risk?. Allow privacy to reflect. Place patient on 1 to 1 observation. Encourage journaling alone. Allow access to personal belongings.

9. Which environmental intervention is necessary for suicide precautions?. Provide comfort items. Remove belts, shoelaces, and sharp objects. Allow patient to keep medications. Keep room unlocked for independence.

10. Which factor is a psychosocial trigger for suicide risk?. Recent divorce. Balanced lifestyle. Stable family relationships. Positive coping skills.

11. Which demographic group is considered vulnerable to suicide risk?. Healthy middle aged adults. Adolescents. Infants. Preschool children.

12. A patient suddenly becomes withdrawn and stops socializing. What should the nurse suspect?. Improved mental health. Acute suicide risk. Normal mood change. Increased coping.

13. Which clinical condition increases suicide risk?. Seasonal allergies. Depression or psychosis. Minor headaches. Controlled hypertension.

14. Which nursing communication technique is most appropriate when suicide risk is suspected?. Ignore the comment. Offer advice. Ask directly about suicidal thoughts. Change the subject.

15. Which patient situation indicates the greatest psychosocial stress trigger?. Winning a scholarship. Divorce and social isolation. Getting a promotion. Traveling abroad.

16. Which intervention reflects therapeutic communication?. You have so much to live for. Why would you think that?. You sound upset. Are you thinking of harming yourself?. Everything will be fine.

17. According to NCLEX priority logic, which condition takes precedence over suicide risk?. Psychosocial grief. Anxiety. Decreased oxygen saturation. Loneliness.

18. Which nursing action supports suicide prevention in the hospital setting?. Encourage isolation. Establish a safety contract. Avoid discussing suicide. Allow unsupervised walks.

19. Which question helps determine access to lethal means?. Do you feel lonely?. Do you have access to weapons or medications?. Do you enjoy your hobbies?. Are you sleeping well?.

20. Which nursing responsibility is most important when managing suicidal patients?. Ensuring strict safety protocols. Completing paperwork. Providing entertainment. Encouraging independence.

21. Which intervention is required for high suicide risk?. Weekly monitoring. Hourly monitoring. Continuous 1:1 observation. Self reporting.

22. A patient with depression suddenly appears calm after days of distress. What should the nurse suspect?. Recovery. Acceptance. Possible suicide planning. Improved coping.

23. Which risk factor increases suicide likelihood in older adults?. Strong social support. Chronic illness. Stable housing. Regular exercise.

24. What is the nurses priority after identifying a suicide plan?. Provide group therapy. Ensure immediate safety and supervision. Encourage journaling. Delay action until physician arrives.

25. Which principle summarizes suicide prevention nursing care?. Focus on emotional comfort first. Prioritize safety, assess risk, remove hazards, and monitor continuously. Encourage independence. Avoid direct questions.