Practice Question
A nurse is assessing a newly admitted client who states that they do not want to live anymore and plan to end their life. Which of the following actions should the nurse take?
Answer Choices:
Correct Answer:
Ask the client about the lethality of their plan.
Rationale:
🔴 When a client expresses suicidal ideation, the first priority is safety, which includes assessing the lethality and specificity of the suicide plan.
🔴 Asking directly about the method, intent, and access helps determine the level of risk and urgency of intervention.
🔴 This approach is part of a standard suicide risk assessment and does not increase suicidal behavior.
🔴 Early identification allows the nurse to implement appropriate precautions (e.g., one-to-one monitoring, removal of dangerous items).
🔴 Documentation and immediate reporting to the care team are essential steps.
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This question is from RN ATI Custom Nur316-Fall 2023(Module 4 Units 1-5) which contains 29 questions.
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From Exam
RN ATI Custom Nur316-Fall 2023(Module 4 Units 1-5)
29 Questions
View Full Exam Start PracticingQuestion Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Mental Health
- Answer Choices: 4