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Impulse Control Practice Test
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Which short-term outcome would be appropriate for a teenager hospitalized for suicidal ideations with impulse control concerns?
Identify support persons to contact when ideations occur
Express feelings that trigger ideations to staff as soon as they occur
Agree not to harm self for the next 12 hours
Develop a personal safety plan with therapist
Reveal Answer
Correct Answer:
Express feelings that trigger ideations to staff as soon as they occur
Explanation:
The key idea here is the value of real-time communication of risk. When a teenager is in the hospital with suicidal thoughts and impulse control issues, ideations can spike quickly and impulses may lead to harmful actions. Telling staff about the feelings and triggers as soon as they occur provides an immediate safety net: staff can assess danger, increase supervision, intervene promptly, and adjust supports to prevent a crisis. This creates a direct, real-time response that reduces the chance of harm. While identifying support people and having a safety plan are important parts of ongoing care, they don’t address the immediate need as effectively. A safety contract not to harm for a set period relies on self-control that may be unreliable in impulse-driven moments, and a personal safety plan, though essential, is typically developed and refined over time with a clinician rather than serving as the quickest in-the-moment protection.
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