Avoid shopping for large amounts of food.
Control eating impulses.
Identify anxiety-causing situations.
Eat only three meals per day.
Check the client frequently at irregular intervals throughout the night
Assure the client that the nurse will hold in confidence anything the client says
Repeatedly discuss previous suicide attempts with the client
Disregard decreased communication by the client because this is common in suicidal clients
Deferoxamine mesylate (Desferal)
"I trust you not to purge."
"How are you purging and when do you do it?"
"Don't worry. I won't allow you to purge today."
"I know it's important for you to feel in control, but I'll monitor you for 90 minutes after you eat."
"If you continue to talk like that, I'm going to stop speaking to you."
"You told me you got fired from your last job for missing too many days after taking drugs all night."
"Tell me more about how it felt to get high."
"Don't you know it's illegal to use drugs?"
The client will establish adequate daily nutritional intake
The client will make a contract with the nurse that sets a target weight
The client will identify self-perceptions about body size as unrealistic
The client will verbalize the possible physiological consequences of self-starvation
The injury isn't consistent with the history or the child's age
He mother and father tell different stories regarding what happened.
The family is poor.
The parents are argumentative and demanding with emergency department personnel.
They tend to overprotect their children.
They usually have a history of substance abuse.
They maintain emotional distance from their children
They alternate between loving and rejecting their children
Remaining with the client and staying calm
Calling a security guard and another staff member for assistance
Telling the client's husband that he must leave at once
Determining why the husband feels so angry
Fill out the client's menu and make sure she eats at least half of what is on her tray.
Let the client eat her meals in private. Then engage her in social activities for at least 2 hours after each meal.
Let the client choose her own food. If she eats everything she orders, then stay with her for 1 hour after each meal.
Let the client eat food brought in by the family if she chooses, but she should keep a strict calorie count.
Assessing the client's home environment and relationships outside the hospital
Exploring the nurse's own feelings about suicide
Discussing the future with the client
Referring the client to a clergyperson to discuss the moral implications of suicide