The Nurse Is Caring for a Patient on a Medical-Surgical

The nurse is caring for a patient on a medical-surgical inpatient unit. The patient tells the nurse he is very sad and is considering suicide. What is the first thing the nurse should do?

A) Notify the health care provider.
B) Make a referral to psychiatric services.
C) Implement one-on-one observations.
D) Document in the electronic medical record.