Ati PN Mental Health 2023 Proctored Exam
A nurse is caring for a client who has agreed to a verbal safety contract following a self-mutilation attempt. Which of the following behaviors indicates that the contract has been effective?
Explanation & Rationale
A. Suppressing feelings is not a healthy coping strategy and does not demonstrate effective use of a safety contract. It may increase internal distress and risk for future harm. B. A safety contract involves the client agreeing to notify staff before acting on self-harm urges. Informing the nurse when experiencing thoughts of self-harm demonstrates use of the agreement and shows improved impulse control and help-seeking behavior. C. Delaying discussion until speaking with the provider does not ensure immediate safety. The contract typically involves notifying available staff promptly when urges arise. D. Isolating in their room when overwhelmed increases risk and does not demonstrate adherence to the safety contract.
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