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A 15-year-old female client was referred to a clinical psychologist for psychological evaluation for severe moodiness, instability, isolation, and a locus on death and darkness in her artwork. She states that she feels depressed most of the time. The client is also underweighting and has signs and symptoms of a possible eating disorder. As a result of a comprehensive psychological evaluation, she was diagnosed with major depressive disorder and mild bulimia nervosa. The primary health care provider prescribed fluoxetine 20 mg orally each day and psychological therapy for the client twice a week. On her first visit, the therapist asked questions to determine the client's suicidal potential. Which of the following screening questions are appropriate for a client to determine the risk for suicide? Select all that apply.
1. "Have you ever thought of taking your own life?"
2. "When you are feeling sad, what thoughts are going through your mind?"
3. "Why does your artwork look dark and focus on death?"
4. "What is it like for you when you feel depressed?"
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