A nurse determines that a client is at imminent risk for suicide. Which of the following would be least appropriate to include in the client's plan of care?

Question

A) Listening intently and nonjudgmentally
B) Validating the client's feelings and experience
C) Instituting strict restriction on the client's activity
D) Using cognitive interventions to foster hope

Answer 1

Ans: C
There are three urgent priorities for care of a person who is at imminent risk for suicide: (1) reconnecting the client to other people and instilling hope, (2) restoring emotional stability and reducing suicidal behavior, and (3) ensuring safety. Reconnecting the client interpersonally includes listening intently and without judgment to the client's thoughts and feelings, and validating the client's experience and suffering. This intervention directly challenges the client's belief that no one cares. Using cognitive interventions can help the client to regain hope. Restricting a client's activity can be very upsetting. Rather, the nurse should reduce the client's stress while ensuring safety by intruding as little as possible on the client's exercise of free will.