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Question:

Terri showed up for his appointment very upset and anxious. She stated she is frightened because she has begun hearing the voices again. The voices that tell her she should kill herself. She has been hearing these voices for approximately 5 years and has two prior suicide attempts over this time. She states that the voices have become stronger over the past week. She says she had received a call from her mother that a friend from high school had completed a suicide attempt. Your FIRST intervention should be...

A Begin a complete suicide risk assessment.
explanation

In the realm of suicide risk, the loss of a friend or family member is a serious risk indicator. The shorter the time between the known suicide and the present, generally the greater the risk. This one fact along with her continual cycle of hearing voices is enough to put you on HIGH ALERT.
Complete a depression screen IS INCORRECT. Safety and self-harm are the greatest problems right now. Underlying depression should be expected.
Option discuss the need for immediate inpatient hospitalization IS INCORRECT. You are jumping to fast here. You should be aware of this possibility, but you need to review all risk and protective factors in a complete suicide risk assessment.
Ask Terri about her current medication compliance IS INCORRECT. Nothing in the question deals with medication. When answering the questions on the test, deal only with the information given in the question.

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