A nurse is collecting data from a client who is expressing suicidal ideations. Which of the following questions is the nurse's priority?
Explanation & Rationale
A. "Can you tell me about the stresses in your life?" Identifying stressors is important for understanding the client’s situation, but it does not directly assess the immediate risk of suicide, which takes priority. B. "Has anyone in your family ever died by suicide?" A family history of suicide can be a risk factor, but assessing the client’s current intent and plan is more urgent for determining immediate safety. C. "Do you have someone to discuss your feelings with?" A support system is important, but it does not address the immediate risk of self-harm. If the client has a plan, immediate intervention is needed regardless of their support system. D. "Do you have a plan for harming yourself?" Asking about a specific plan is the priority because it helps determine the level of risk and urgency of intervention. A detailed plan suggests a higher risk of acting on suicidal thoughts, requiring immediate safety measures.