Difficulty: Medium
Average Score: 86%
Simulated
A 21-year-old female was arrested on charges of solicitation. Jail staff asked for a mental health evaluation when the woman used a fork to stab herself. She also had an episode of rage after waking up from a nightmare and screamed repeatedly to 'let her out of the locked room.' After she was admitted to the psychiatric unit, she admitted to being kidnapped and held from ages 8 to 16 by a convicted child pornographer. She said she never contacted her family after her release from captivity. The nurse should do the following in what order of priority from first to last?
Correct answer
A,C,B,D
Rationale
The nurse should prioritize: 1) Suicide precautions and no harm contract (A) due to self-harm; 2) Offer empathy and support (C) to build trust; 3) Ask about contacting family (B) to explore reconnection; 4) Encourage verbalizing emotions (D) to process trauma.