A client diagnosed with major depressive disorder with psychotic features hears voices commanding self-harm. The client refuses to commit to developing a plan for safety. What should be the nurse's priority intervention at this time?

Question

Quizplus · Accepted Answer

Placing the client on one-to-one observation while monitoring suicidal ideations is the priority intervention in this situation. This intervention ensures that the client is under constant supervision to prevent self-harm while also monitoring for suicidal ideations. Obtaining an order for locked seclusion may be necessary if the client becomes actively suicidal, but it is not the initial priority. Conducting 15-minute checks may not be frequent enough to prevent self-harm, and encouraging the client to express their feelings may not be effective unless the client agrees to safety planning.

A Client Diagnosed with Major Depressive Disorder with Psychotic Features