A nurse is planning care for a client who recently attempted suicide. Which of the following actions should the nurse plan to take?
Explanation & Rationale
A. Limit the personal toiletries in the client's room to cologne: Cologne contains alcohol and glass containers that can pose safety risks. Personal items should be restricted, but cologne is not appropriate to allow in the room. Safer alternatives would be basic, nonhazardous hygiene items under supervision. B. Ensure the client swallows each dose of medication: Clients who have attempted suicide may cheek or hoard medications for later self-harm. Verifying that each dose is swallowed reduces the risk of medication accumulation and overdose. This action directly supports client safety during a high-risk period. C. Observe the client's behavior every 2 hr: Clients at risk for self-harm require close or continuous observation, often 1:1 or at least every 15 minutes, depending on policy and risk level. Two-hour intervals are insufficient during the acute phase following a suicide attempt. D. Keep the client's door shut when they are in the room: Keeping the door shut limits visibility and delays response if the client becomes distressed or unsafe. Maintaining visual access allows for timely intervention and supports ongoing safety monitoring.