The client with major depressive episode is experiencing command hallucination for self-harm. Which intervention should be the nurse's priority at this time?

Question

Quizplus · Accepted Answer

Placing the client on one-to-one observation while continuing to monitor suicidal ideations is the priority intervention in this scenario. This intervention ensures that the client is closely monitored to prevent self-harm while also allowing for continued assessment and documentation of suicidal thoughts and behaviors. Locked seclusion should only be used as a last resort and with a physician's order. Conducting 15-minute checks may not provide adequate supervision given the client's command hallucination for self-harm. Encouraging the client to express feelings related to suicide may be appropriate, but it should not take priority over ensuring the client's safety.

The Client with Major Depressive Episode Is Experiencing Command Hallucination