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danielarincon26 danielarincon26
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6 years ago
The nurse is interviewing a client in crisis to assess the risk for self-harm. The nurse interprets that the client is most at risk for suicide if the client:
 
  1. Exhibits impulsive behavior
  2. Exhibits disorganized behavior
  3. Has a history of suicide attempts
  4. Has an immediate plan for a suicide attempt
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6 years ago
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Rationale: A client who has a specific suicide plan is most at risk for actually committing suicide, especially if the method is highly lethal and available to the client. The client also presents a lethality potential if the client appears disorganized and impulsive. Clients at higher risk for suicide include those with a history of a dual diagnosis of mental illness and substance abuse, a personal or family history of suicide attempts, depression, alcoholism, or psychotic episodes.
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