A nurse on a mental health unit is caring for a client who has suicidal ideation. Which of the following actions should the nurse take?
Explanation & Rationale
A. Encouraging visitors to bring the client’s favorite items is not appropriate for a client with active suicidal ideation. Personal items may be restricted depending on the level of risk, and safety is the priority. While supportive interactions with family can be helpful, this is not the priority nursing intervention when suicide risk is present. B. Establishing a no-suicide contract with the client is the correct action in this context because it is commonly used in psychiatric nursing as an initial step to promote safety and verbal commitment from the client that they will not harm themselves and will seek help if suicidal thoughts intensify. Although modern practice emphasizes that contracts alone are not sufficient for safety, in NCLEX-style questions this remains the expected intervention and reflects immediate suicide risk management. C. Suggesting the client relax alone in their room is unsafe. Clients with suicidal ideation require close observation and should not be left alone due to the increased risk of self-harm. This intervention would increase risk and is therefore incorrect. D. Avoiding discussion of suicidal thoughts is inappropriate and unsafe. Direct communication about suicidal ideation is essential for assessment, risk evaluation, and safety planning. Avoidance may lead to missed warning signs and increased risk of harm.