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    Ati rn vati mental health proctored exam

    A nurse is planning care for a client following a suicide attempt. Which of the following interventions should the nurse include in the plan?

    Explanation & Rationale

    Choice A reason: Checking on the client every 30 minutes is not frequent enough for a client who has recently attempted suicide. Standard suicide precautions require continuous observation or checks every 15 minutes to ensure safety. Every 30 minutes leaves too much time for potential self-harm. Choice B reason: Requesting family members to bring personal hygiene items from home is unsafe because these items may include sharp objects such as razors, scissors, or glass containers. Allowing unscreened items into the client’s environment increases the risk of self-harm. Choice C reason: Providing plastic eating utensils is the correct intervention because it minimizes the risk of self-injury. Metal utensils can be broken or sharpened into dangerous objects, while plastic utensils are safer and reduce opportunities for harm. This intervention aligns with suicide precautions. Choice D reason: Keeping the client’s door closed at night is unsafe because it prevents staff from easily observing the client. Doors should remain open or observation should be unobstructed to allow continuous monitoring and rapid intervention if needed.

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