A spouse brings a client to an extremely busy emergency department due to erratic behavior and expressions of despair. When the triage registered nurse asks if the client feels suicidal now, the client shrugs their shoulders. Based on these findings, which nursing responsibility is the practical nurse expected to be assigned?

A Ask the client to make a verbal contract to not harm self. D Place the client in an inside hallway with one-on-one observation. B Return the client to the waiting room with the spouse. C Document that the client is not currently suicidal.