NursingPlex
    Sign In
    Ati lpn mental health level 4 proctored exam

    A nurse is caring for a client who has depressive disorder, is in alcohol withdrawal, and reports a recent job loss. Which of the following should be the priority nursing intervention?

    Explanation & Rationale

    A. Refer client to mental health care provider for evaluation and treatment: While this is important, it is not the immediate priority. Identifying imminent risks, such as suicidal ideation, takes precedence. B. Assist the client to identify negative effects of chemical dependency: This intervention is more suitable after immediate safety concerns, such as suicide risk, are addressed. C. Identify support groups in the community for long-term treatment: This is a secondary intervention after immediate risks have been mitigated. D. Determine the presence and degree of suicidal risk: Ensuring the client’s safety is the priority, as depression and recent stressors (job loss) significantly increase the risk of suicide.

    🔒 Submit your answer to reveal