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    Ati nur 120 psychiatricmental health proctored exam

    A nurse is assessing a newly admitted client who states that they do not want to live anymore and plan to end their life. Which of the following actions should the nurse take?

    Explanation & Rationale

    A. Allow the client time alone to selfreflect: Allowing time alone increases the risk for selfharm because clients expressing suicidal intent require continuous assessment and safety measures, not isolation. B. Reassure the client that everything is going to work out: Offering false reassurance minimizes the client's feelings and does not address the immediate risk, preventing accurate assessment of suicidal intent. C. Ask the client about the lethality of their plan: Assessing the client’s suicide plan, including method and lethality, is essential to determine the level of risk and the urgency of safety interventions, making this the priority action. D. Encourage the client to focus on the positive aspects of life: Encouraging positivity diverts attention from the client’s immediate crisis and does not ensure safety, delaying essential risk assessment and intervention.

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