The Nurse Is Caring for a Patient on the Mental

The nurse is caring for a patient on the mental health unit who was admitted with severe depression and has a history of suicide attempts. The patient suddenly states, "You cannot keep me from killing myself, I will do it when you are not looking." Which action would demonstrate appropriate use of autonomy and be a priority for the nurse to take?

A) Immediately assign a one-to-one for the patient and then notify the doctor.
B) Place the patient in four-point restraints and document the patient's statement.
C) Administer a prescribed sedative to the patient.
D) Stay with the patient and ask the patient if he/she has a plan.