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Exam NCLEX-RN topic 7 question 80 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 80
Topic #: 7
[All NCLEX-RN Questions]

A 27-year-old male client is admitted to the acute care mental health unit for observation. He has recently lost his job, and his wife told him yesterday that she wants a divorce. The client is placed on suicide precautions. In assessing suicide potential, the nurse should pay close attention to the clients:

  • A. Level of insight
  • B. Thought processes
  • C. Mood and affect
  • D. Abstracting abilities
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Suggested Answer: C 🗳️
(A) Assessing the clients level of insight is an important part of the mental status exam (MSE), but it does not reflect suicide potential. (B) Assessing the clients thought processes is an important part of the MSE, but it does not reflect suicide potential. (C) Assessing the clients mood and affect is an important part of the
MSE, and it can be a very valuable indicator of suicide potential. Frequently a client who has decided to proceed with suicide plans will exhibit a suddenly improved mood and affect. (D) Assessing a clients abstracting abilities is an important part of the MSE, but it does not reflect suicide potential.
by [deleted] at March 10, 2025, 7:19 a.m.

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