1. Which behavior would be the most problematic and require vigilance to prevent danger to self or others?

2. During an interview, the female client tells the psychiatric nurse in a mental health clinic, “Sometimes I feel like life is not worth living. I am going to kill myself.” Which interventions should the nurse implement? Select all that apply.

3. Which nursing intervention is priority for the client diagnosed with anorexia who is admitted to an inpatient psychiatric unit?

4. The client in the psychiatric unit tells the nurse, “Someone just put a bomb under the couch in the lobby.” Which action should the nurse implement first?