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