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一位護理師正在將一位成年個案收入住院行為健康單位，因為個案有積極的自殺意念，且在過去24小時內已擬定計畫。個案現在表示目前沒有意圖。哪些立即的護理措施是適當的？請選取所有適用項目。

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1 Establish a calm, non-judgmental therapeutic relationship and ask the client directly about current suicidal thoughts, plan, and access to means 建立平靜、不評斷之治療關係，直接詢問病人目前自殺意念、計畫與接觸方式 2 Avoid directly asking about suicide because discussing it may plant the idea and worsen suicidal ideation 避免直接詢問自殺，因為討論可能植入想法或惡化意念 3 Place the client on continuous one-to-one (1:1) observation by a trained staff member, including in the bathroom 由受訓人員執行包含上廁所之 1:1 持續觀察 4 Conduct a thorough environmental safety check and remove sharp objects, cords, plastic bags, and unsecured medications from the room 徹底環境安全檢查，將鋭利物、繩線、塑膠袋、未鎖藥物自房內移除 5 Allow the client to keep all personal belongings — including shoelaces, belt, and prescription medications — to preserve dignity and autonomy 為維護尊嚴與自主，允許病人保留鞋帶、皮帶、處方藥等所有個人物品 6 Assign the client to a private room at the far end of the hallway to provide quiet and reduce stimulation 為提供安靜與減少刺激，將病人安排至走廊最盡頭的單人房

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相同主題的下一題A nurse is admitting a 32-year-old client to an inpatient mental health unit with a diagno…本題收錄於此題庫[전통+신유형] NCLEX LEVEL UP 패키지KRW 79,000

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