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1. A 25-year-old woman is admitted to the psychiatric
unit with a diagnosis of major depressive disorder. She
has a history of self-harm and suicidal ideation. She
tells the nurse that she feels hopeless and worthless
and that she has no reason to live. Which of the
following nursing interventions is the most appropriate
for this patient?
a) Encourage her to participate in group therapy and
recreational activities.
b) Provide her with a safe and supportive environment
and monitor her for suicidal behavior.
c) Teach her cognitive-behavioral techniques to
challenge her negative thoughts and beliefs.
d) Administer antidepressant medication as prescribed
and evaluate its effectiveness.
* b) Provide her with a safe and supportive
environment and monitor her for suicidal behavior.
Rationale: The priority nursing intervention for a
patient with major depressive disorder and suicidal
ideation is to ensure their safety and prevent selfharm. The nurse should provide a safe and supportive
environment, remove any potential means of suicide,
and monitor the patient closely for suicidal behavior.
The other interventions are also important, but they
are not as urgent as ensuring safety.
2. A 45-year-old man is brought to the emergency
department by his wife, who reports that he has been
acting strangely for the past week. He has been talking
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