Difficulty: Medium
Average Score: 94%
Simulated
A client is admitted to the psychiatric unit after a suicide attempt. The nurse should plan which intervention as the most important to maintain client safety?
Correct answer
A
Rationale
Hanging is a serious suicide attempt. The plan of care must reflect the action that will promote the client's safety. Constant observation by a staff member is necessary. It is not advisable to rely on the client to report suicidal thoughts at this point in the treatment. Removing one's clothing does not maximize all possible safety strategies. Placing the client in seclusion further isolates the client.