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一位護理師正在收治一名22歲的個案，該個案因吞服過量acetaminophen企圖自殺，入住精神科病房。護理師在立即安全計畫中應包括哪些措施？（選擇所有適用選項）

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1 Place the client in a private room at the end of the hallway away from the nursing station 將病人安置於遠離護理站之走廊盡頭單人房 2 Conduct a contraband search to remove items that could be used for self-harm 進行禁帶物品搜查以移除可能用於自傷的物品 3 Use direct, open-ended questions about suicidal thoughts, plan, and intent 直接以開放式問題詢問自殺念頭、計畫與意圖 4 Avoid discussing the suicide attempt to prevent triggering the client 為避免刺激病人,不討論自殺企圖 5 Initiate one-to-one constant observation per facility protocol 依機構規定執行一對一持續觀察

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