A nurse asks a client who is suicidal to make a safety contract, but the client declines.<\/p>\n\n\n\n
Which of the following actions should the nurse identify as the priority?.<\/p>\n\n\n\n
A.
Assign a staff member to stay with the client at all times.<\/p>\n\n\n\n
B.
Lock the doors to the unit and secure windows so they cannot be opened.<\/p>\n\n\n\n
C.
Remove any objects from the client’s environment that could be used for self-harm.<\/p>\n\n\n\n
D.
Provide the client with plastic eating utensils for meals.<\/p>\n\n\n\n
The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n The correct answer is A. Assign a staff member to stay with the client at all times.<\/strong><\/p>\n\n\n\n When a client expresses suicidal thoughts and declines to make a safety contract, the priority for the nurse is to ensure the client’s immediate safety. Assigning a staff member to stay with the client ensures constant observation and support, which is crucial in a situation where the risk of self-harm is present. Continuous monitoring helps to prevent any impulsive actions the client might take and provides a sense of safety and support.<\/p>\n\n\n\n While options B and C may seem important, they are not the most effective immediate interventions. Locking doors and securing windows (option B) may limit access to potential means of self-harm, but it does not provide the direct and immediate support that a staff member can offer. Moreover, such measures could lead to feelings of confinement and distress, potentially exacerbating the client\u2019s mental state.<\/p>\n\n\n\n Option C, removing objects that could be used for self-harm, is a valuable action in an ongoing safety plan; however, it does not address the client’s immediate need for emotional support and supervision. It\u2019s a step that should be part of a broader safety assessment but is not a substitute for active monitoring.<\/p>\n\n\n\n Option D, providing plastic eating utensils, might seem like a precautionary measure to prevent self-harm, but it lacks the immediacy and supportive nature of assigning staff to stay with the client.<\/p>\n\n\n\n In conclusion, while all these actions may play a role in a comprehensive safety plan, the priority in this scenario is to assign a staff member to provide constant support and observation, ensuring the client feels safe and is less likely to act on suicidal impulses.<\/p>\n","protected":false},"excerpt":{"rendered":" A nurse asks a client who is suicidal to make a safety contract, but the client declines. Which of the following actions should the nurse identify as the priority?. A.Assign a staff member to stay with the client at all times. B.Lock the doors to the unit and secure windows so they cannot be opened. […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-142604","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/142604","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=142604"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/142604\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=142604"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=142604"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=142604"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Explanation:<\/h3>\n\n\n\n