Difficulty: Medium
Average Score: 79%
Simulated
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?
Correct answer
B
Rationale
The correct answer is B: Remove any objects from the client's environment that could be used for self-harm. This is the priority because it directly addresses the immediate risk of self-harm, which is crucial in ensuring the client's safety. By removing objects that could be used for self-harm, the nurse reduces the client's access to means of carrying out suicidal thoughts. This action helps prevent impulsive acts and provides a safer environment for the client.
A: Locking doors and securing windows may be necessary in certain situations, but it does not address the immediate risk of self-harm.
C: Providing plastic eating utensils is not relevant to the client's safety in this context.
D: Assigning a staff member to stay with the client is important for supervision but does not directly address the removal of harmful objects.
A: Locking doors and securing windows may be necessary in certain situations, but it does not address the immediate risk of self-harm.
C: Providing plastic eating utensils is not relevant to the client's safety in this context.
D: Assigning a staff member to stay with the client is important for supervision but does not directly address the removal of harmful objects.