Difficulty: Medium
Average Score: 73%
Full-length
The nurse is caring for a client who has verbalized the desire to commit suicide. He has a detailed, concrete plan in place. The nurse places the client on suicide precautions, which include assigning the client a 24-hour sitter. The client becomes angry and refuses the sitter. Which action by the nurse is the most appropriate?
Correct answer
C
Rationale
A detailed suicide plan indicates high risk. Assigning a sitter despite refusal ensures safety, as patient consent is secondary to preventing harm.