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학습 자료 둘러보기 →When a client expresses a desire to stop their pain, the first and non-delegable nursing action is a direct lethality assessment. This must occur before any other therapeutic, pharmacological, or social intervention.
Conduct a structured assessment to determine the specificity of the plan, access to means, and intent to act. The result directly informs the creation of a collaborative safety plan.
Do not delay the risk assessment to explore feelings, administer medication, or contact family. A client with a recent chronic illness diagnosis and financial stress is at elevated risk; a safety plan alone is ineffective without first establishing the immediacy and severity of the threat.
학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요.