Try it
Psychiatry · Suicide risk
Sample itemWhat is the most important first step when a patient reports suicidal thoughts?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Assess immediate safety and intent
The defining Suicide risk feature supports Assess immediate safety and intent; this conclusion most directly matches the clinical presentation and the usual principle being assessed.
Option by option
A. Promise secrecy without limits
Promise secrecy without limits may be relevant in another setting but is not the best answer here.
B. Assess immediate safety and intent (correct)
Correct. Assess immediate safety and intent is supported by the key finding in this scenario.
C. Prescribe without assessment
Prescribe without assessment is inconsistent with the priority or diagnosis described.
D. Change the subject
Change the subject does not fit the central suicide risk clue.
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.
More Psychiatry questions
- Suicide riskSpecific plan and intent require what?
- Suicide riskWhat factor most increases immediate suicide concern?
- PsychopharmacologyLithium use during the first trimester of pregnancy is associated with which congenital…
- Psychotic disordersWhich of the following is a Schneiderian first-rank symptom of schizophrenia?