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    Ati mental health proctored exam
    Select All That Apply

    A nurse is caring for a client who is grieving. Which of the following findings should the nurse identify as the priority when collecting data? (Select all that apply)

    Explanation & Rationale

    Choice A reason: The client stated, "I can't go on living without my child," which is a clear indicator of potential suicidal ideation. In psychiatric nursing, any statement reflecting a lack of desire to live or a sense of hopelessness is the highest priority data point, as it directly impacts the immediate safety and life-protection of the client. Choice B reason: The client is noted to be "tearful and angry" and describes their emotions as "still very intense." Identifying the intensity of these emotional responses is a priority because high levels of anger and sadness can complicate the grieving process, potentially leading to maladaptive coping mechanisms or complicated grief that requires targeted clinical intervention. Choice C reason: While understanding group therapy expectations is helpful for the client's participation in the treatment plan, it is a secondary educational goal. In the hierarchy of data collection, a client’s cognitive grasp of meeting rules is far less critical than assessing their immediate emotional stability and risk for self-harm. Choice D reason: Awareness of the therapist's role is a component of the orientation to care and informed consent. However, it does not represent an acute physiological or psychological risk. Compared to the client’s expression of suicidal thoughts or medication non-adherence, this finding is considered a lower-priority administrative detail. Choice E reason: The client states they have not been taking their prescribed sertraline because "it will not help." Medication non-adherence is a priority finding because sertraline is used to treat the depressive symptoms that can accompany grief; failure to take it can lead to a worsening of the client's clinical condition and increase the risk of self-harm.

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