A Nurse Working in a Psychiatric Hospital Is Performing a Suicide

A nurse working in a psychiatric hospital is performing a suicide assessment on a client diagnosed with major depressive disorder (MDD) . Which actions by the nurse are appropriate when conducting a suicide assessment? Select all that apply.

A) Assess all clients for suicide risk by using indirect questioning.
B) Ask if the client has any thought of suicide.
C) Avoid asking about suicide to avoid "planting the idea" in the client's mind.
D) Assess the lethality of the suicide plan, if one exists.
E) If the client has suicidal thoughts, assess whether or not the client would act on them.