💊 NCLEX-RN Exam Prep

A patient displays signs of clinical depression. Which assessment finding is most concerning and requires immediate intervention?

A Crying spells
B Expressing a specific plan to harm themselves with identified means and timeline
C Loss of appetite
D Social withdrawal

✓ Correct Answer: Option B

Suicide risk hierarchy: specific plan + means + timeline = highest risk, requires immediate 1:1 observation and safety measures. Ideation without plan = moderate risk. Passive ideation = lower but still monitor. Always assess: plan, means, intent, prior attempts.

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