A patient admitted to hospital for love failure and expressing to the health care providers regarding not to harm themselves. Such type of contract is known as

1. A

   Irrelevant contract

2. B

   No Injury contract

3. C

   Compensatory contract

4. D

   No Suicidal contract

Appeared in: NHM MP Staff Nurse-2022

Explanation

• A 'No-Suicide Contract' is a therapeutic agreement used in psychiatric care.
• In this contract, the patient verbally or in writing commits to not harming themselves for a specific period.
• It also includes an agreement to seek help from staff or a support system if suicidal urges become strong.
• This tool is designed to foster a therapeutic alliance and empower the patient to take an active role in their own safety.

Why Other Options Were Wrong

• Option A: This is not a recognized term in any clinical or legal setting related to patient care.
• Option B: This term is too general. The primary risk in the scenario is suicide, not just any form of injury. 'No-Suicide Contract' is the more precise and standard term.
• Option C: This is a legal or business term referring to an agreement to pay for damages or losses. It has no application in therapeutic patient safety.

Related Visual

Clinical Relevance

• Nursing practice connection: Use the key finding related to Therapeutic contracts for suicide prevention in psychiatric nursing to guide bedside assessment, documentation, and the next nursing action.
• A no-suicide contract is a tool to foster patient responsibility and open communication, but it is not a legal document and does not guarantee safety.
• Nurses must understand that such a contract does not replace the need for vigilant observation, environmental safety checks, and ongoing risk assessment.
• It is a component of a comprehensive safety plan, not a standalone solution.

How to Approach the Question

• First, analyze the clinical scenario: a patient is experiencing severe emotional distress ('love failure') and is at risk for self-harm.
• Identify the core concept being tested, which is a formal therapeutic agreement used in psychiatric nursing for suicide prevention.
• Evaluate each option based on standard clinical terminology.
• Eliminate options that are clearly from other fields, such as 'Compensatory contract' (legal/business) and 'Irrelevant contract' (non-specific).
• Differentiate between the remaining plausible options. 'No Injury contract' is general, whereas 'No Suicidal contract' is highly specific to the risk of suicide, which is the primary concern in this context.
• Select the most precise and clinically recognized term as the correct answer.

Concept Tested & Keywords

• Concept Tested: Therapeutic contracts for suicide prevention in psychiatric nursing.
• Stem keywords: love failure, not to harm themselves, contract
• Lead-in keywords: type of contract
• Negative lead-in flag: false

Question ID

Q8-Q-Sp8l7t85ivsKHYOHX

Copy ID

Reference Book

E6 Nursing Fundamentals Potter Perry 12e Part 2 p. 95-97

E6 Nursing Brunner Adult Health 3SA Vol 2 Part 3 p. 140-142