Difficulty: Medium
Average Score: 74%
Simulated
A client with a history of self-harm is admitted. Which nursing intervention is the priority?
Correct answer
A
Rationale
The correct answer is A: Remove all sharp objects from the environment. This is the priority intervention to ensure the client's safety and prevent self-harm. Removing sharp objects reduces the risk of the client causing harm to themselves. Encouraging journaling (choice B) and scheduling group therapy sessions (choice C) are important interventions but not as critical as ensuring immediate safety. Administering an SSRI (choice D) is not a priority in this situation as it does not address the immediate risk of self-harm.