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    Rn Hesi Mental Health Proctored Exam

    A client is admitted to the hospital with suicidal ideation. When completing the health history and admission assessment interview, which client comment is most important for the nurse to document?

    Explanation & Rationale

    Choice A rationale: This statement expresses the client's emotional state but does not provide information about immediate access to lethal means. Choice B rationale: This comment is the most crucial to document because it indicates the client's access to potentially lethal means, which is a significant risk factor for committing suicide. Choice C rationale: This statement provides information about a source of support in the client's life but does not indicate immediate access to lethal methods. Choice D rationale: This statement provides information about the frequency of panic attacks but does not indicate immediate access to lethal means.

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