Registered Practical Nurse (RPN) Practice Test

What is the next appropriate question to ask a patient who has previously tried to kill themselves?

1. What were the circumstances and means used in the past?

2. Why did you feel that way?

3. Are you feeling suicidal now?

4. What do you think should be done instead?

The correct answer is: What were the circumstances and means used in the past?

The most appropriate next question to ask a patient who has previously attempted suicide is to inquire about the circumstances and means used in the past. This question is relevant because it helps to gather comprehensive information about the patient's previous experience with suicidal thoughts and actions. Understanding the specific circumstances that led to the prior attempt can provide crucial insights into the patient’s mental state at that time, as well as any triggers or life events that may have contributed to those feelings. This information can inform the development of a safety plan and appropriate interventions moving forward. It's important to establish a detailed understanding of the patient's history to better assess their current risk factors and tailor support to their unique situation. This approach emphasizes safety and can open avenues for further therapeutic conversation, enabling the healthcare provider to deliver more effective care. Inquiring about feelings with "Why did you feel that way?" may not yield as useful information in this context, as it can place the patient on the defensive or evoke shame, rather than engage them in a constructive dialogue about their past experiences. Asking if they are feeling suicidal now is significant but should usually follow up on understanding their past, as establishing a complete context is crucial for providing immediate care. Finally, asking what they think should be done instead places the onus on the