The nurse is caring for a client experiencing depression and who is a known risk for suicide. The nurse observes that the client appears to be happy and has been giving some treasured possessions away during the day
The nurse should assess the client for:
1. possibility for discharge.
2. overdose of medication.
3. a plan for suicide.
4. planned violence towards others.
Answer: 3
1. The depressed client who is suddenly happy has a plan for suicide and is not ready for discharge.
2. Overdose of medication would cause physical effects.
3. The client who appears happy and begins giving away personal items has a plan for suicide. The nurse should recognize the signs and alert the health care team.
4. A client with violent intentions toward others would not appear happy and would not give possessions away.
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