A client diagnosed with Major Depressive Disorder with psychotic features hears voices commanding self-harm.The client refuses to commit to developing a plan for safety.Which is the nurse's priority intervention at this time?

Question

Quizplus · Accepted Answer

Placing the client on one-to-one observation is the priority intervention to ensure the client's safety and prevent self-harm. This intervention will allow for constant monitoring of the client's suicidal ideations and ensure that the client does not act on these thoughts. The other options may be necessary interventions, but they are not the priority over ensuring immediate safety.

A Client Diagnosed with Major Depressive Disorder with Psychotic Features