Question

A nurse is reviewing the medical record of clients who are at risk for engaging in self-injury. What information is identified as risk for self-harm behaviors?

a) A client who recently received physical therapy.
b) A client who has a history of depression and substance abuse.
c) A client who practices relaxation techniques daily.
d) A client who enjoys outdoor activities.

Answer 1

A client with a history of depression and substance abuse is at risk for self-harm behaviors. Mental health issues and substance abuse significantly increase an individual's risk for self-injurious behavior, necessitating critical interventions and support from healthcare providers.

Step-by-step explanation:

When reviewing the medical record of clients who are at risk for engaging in self-injury, nurses need to identify specific indicators that suggest an increased potential for these behaviors. Among the options provided, b) A client who has a history of depression and substance abuse is identified as at risk for self-harm behaviors. This is supported by evidence which suggests that mental health issues, such as depression, along with substance abuse, can significantly increase an individual's risk for self-injurious behavior. Conditions that involve pain or addictive behavior often lead to self-harm as a coping mechanism or as a result of impaired judgment.

A history of depression can exacerbate feelings of hopelessness and worthlessness, leading individuals toward harmful actions against themselves. Substance abuse further impairs decision-making and increases the risk of engaging in risky behaviors, including self-injury. This information can be critical for healthcare providers to develop appropriate interventions and support strategies to prevent self-harm.