A nurse has just completed a suicide risk assessment of a widowed 76-year-old client. In addition to documenting the presence or absence of suicidal thoughts, a suicide plan, and the client's available means, it would also be important for the nurse to document which other information?

Question

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The nurse should document the presence or absence of suicidal thoughts, intent, plan, and available means to illustrate current and ongoing suicide risk. If the client denies any suicidal ideation, it is important that the denial is documented. Documentation must include any use of drugs, alcohol, or prescription medications by the client during the 6 hours before the assessment. It should include the use of antidepressants that are especially lethal (e.g., tricyclics), as well as any medication that might impair the client's judgment (e.g., a sleep medication). Notes should reflect the level of the client's judgment and ability to be a partner in treatment.

A Nurse Has Just Completed a Suicide Risk Assessment of a Widowed