Practice Question
A nurse on an inpatient mental health unit is assisting with the admission of a client who reports feeling depressed, sad, moody, and overly anxious. Which of the following assessments should the nurse make first?
Answer Choices:
Correct Answer:
Suicide risk
Rationale:
✔️ When admitting a client with depressive symptoms, assessing suicide risk is the highest priority due to the immediate threat to life.
✔️ Mental health assessments must follow the ABCs of safety, with suicide ideation and intent always addressed first.
✔️ The nurse should evaluate for suicidal thoughts, plans, and access to means.
✔️ Gathering history and assessing coping can follow after safety is established.
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This question is from ATI LPN Fundamentals Exam 1 which contains 59 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Fundamentals of Nursing
- Answer Choices: 4