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    HESI RN Psychiatric and Mental Health Proctored Exam

    The mental health unit nurse completes the admission assessment for a depressed adolescent client with suicidal ideation. The client reports becoming angry with a sibling, so the client took a handful of pills. Which goal is most important for the nurse to establish with this client?

    Explanation & Rationale

    Choice A reason: Identifying effective coping strategies is critical for an adolescent with suicidal ideation triggered by anger, as it addresses the root cause of the suicide attempt. This goal promotes emotional regulation and prevents future self-harm, aligning with psychiatric nursing priorities for suicide risk management.Choice B reason: Attending group sessions supports socialization but does not directly address the client’s suicidal behavior or emotional triggers. Coping strategies are more critical to prevent recurrence of self-harm, making this goal less important than learning to manage feelings effectively in this context.Choice C reason: Positive staff interaction fosters therapeutic alliance but does not target the client’s suicidal ideation or anger management. Developing coping skills is more critical to address the underlying emotional dysregulation, making this goal secondary to learning effective strategies for handling intense feelings.Choice D reason: Expressing anger towards family may escalate conflict without resolving the client’s suicidal behavior. Teaching coping strategies is more important to manage emotions safely, preventing further self-harm. This goal is less therapeutic and potentially harmful, making it incorrect for priority care planning.

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