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Psychiatry · Psychiatric emergencies
Sample itemWhat is the immediate priority when a patient expresses active suicidal intent with a plan?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Ensure safety and urgent risk assessment
Active suicidal intent with plan requires immediate safety measures, direct assessment of means and support, and urgent psychiatric or emergency intervention.
Option by option
A. Delay discussion until next appointment
Delay may be dangerous.
B. Promise secrecy and send home
Secrecy cannot override immediate safety.
C. Ensure safety and urgent risk assessment (correct)
Correct: safety and urgent assessment come first.
D. Debate whether thoughts are rational
Debate does not reduce acute risk.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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