hard · NCLEX-RN Psychosocial Integrity

The RN is assessing a client in a behavioral health unit who was admitted with major depressive disorder and started on sertraline 50 mg daily one week ago. Which cues would the RN interpret as indicating an imminent risk of suicide? Select all that apply.

  1. The client is observed giving away their favorite books and personal mementos to other clients.
  2. The client states, 'I have a loaded 9 mm handgun hidden in my garage.'
  3. The client reports a persistent lack of interest in previously enjoyed hobbies and activities.
  4. The client requests to speak with a hospital chaplain regarding the loss of a spouse.
  5. The client suddenly appears calm and relieved after a period of intense agitation.

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