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[Answered]: Before answering this question, review the…

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Before answering this question, review the client’s health information in the EHR. Identify the actions of the mental health triage nurse upon Jenny’s arrival to the unit as appropriate or inappropriate. Select one answer for each row. Appropriate Inappropriate Ask about intent and plan for suicide. Ensure the environment is safe. Incorporate school nurse SBAR in the plan of care. Identify the need for medical clearance. Isolate client. Stay with client. Contact the mother.

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