A nurse is caring for a client who is experiencing a situational crisis.Which of the following actions should the nurse take first?

Choice A rationaleEncouraging the client to use personal support systems is a helpful intervention in a situational crisis, providing emotional and practical assistance. However, the immediate priority is to assess for safety.Choice B rationaleAssisting with a client referral for social services can address long-term needs arising from the crisis. However, it is not the initial action when a client is experiencing a situational crisis.Choice C rationaleIdentifying if the client has thoughts of self-harm is the priority action in a situational crisis. Crisis situations can increase the risk of suicidal ideation, and ensuring the client's safety is paramount before addressing other needs.Choice D rationaleReinforcing teaching on the client's use of coping skills is important for managing the crisis. However, assessing for immediate safety concerns, such as self-harm, takes precedence.