A nurse is caring for a client who has threatened to commit suicide by hanging. The client states, "I'm going to use a knotted shower curtain when no one is around." Which information would determine the nurse's plan of care for this client?

Choice A reason: This is a dangerous myth. Many individuals who talk about suicide do follow through. Verbalizing intent is a significant warning sign and must be taken seriously. Choice B reason: A specific suicide plan, especially with means and timing, indicates a high risk for suicide. The more detailed the plan, the greater the risk, and this information is critical for determining the level of observation and intervention needed. Choice C reason: While routine 15-minute checks are standard for moderate risk, a client with a specific plan and intent requires constant one-to-one observation. This choice underestimates the severity of the risk. Choice D reason: Avoiding the topic of suicide is inappropriate and potentially harmful. Open, direct communication about suicidal thoughts is essential for safety and therapeutic engagement.