A 76-year-old female client who recently had a myocardial infarction is in a rehabilitation facility and refuses to attend physical therapy. The client states, “What’s the point? I’ll never be well enough to see my grandchildren.” The nurse notes the client’s appetite has significantly declined over the past week, she has not had a visitor in several days, and she became agitated yesterday when asked to bathe. Question at position 3 3 Multiple Answer 2 points Question at position 3 It has now been 3 days since this 76-year-old female client was diagnosed with major depressive episode. The client was prescribed venlafaxine and encouraged to participate in group therapy. The client talks about dying and tells the nurse she wants to end her own life. Which interventions will the nurse implement at this time to ensure client safety while she is experiencing suicidal thoughts? Select all that apply. Recommend increasing the client’s antidepressant dosage. Allow the client to exercise in the courtyard alone. Place the client in soft wrist restraints. Implement a “no self-harm contract.” Ask the client to describe her specific suicide plan. Remove dangerous items from the client’s room. Demonstrate concern and advocate for the client. Arrange for constant observation, with the client in full view at all times.
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[Verified Answer]: A 76-year-old female client who recently…