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학습 자료 둘러보기 →When a client with major depressive disorder expresses feelings of worthlessness and suicidal ideation, this is a psychiatric emergency that overrides all other symptom management. Immediate intervention is required to ensure physical safety.
The nurse's first action is to initiate continuous one-to-one observation and remove all potential means for self-harm from the environment. The healthcare provider must be notified immediately for further risk stratification and treatment.
Do not leave the client alone. Common symptoms like hypersomnia, anhedonia, or psychomotor retardation are not immediate safety threats and should not distract from the priority of preventing self-directed violence.
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