A newly admitted psychiatric patient repetitively states, "I wish I were dead. I just want to kill myself." The priority nursing at this time is to
a. establish a trusting relationship.
b. encourage a nonstimulating environment.
c. provide for patient safety.
d. identify signs of increased anxiety.
ANS: C
If the patient has suicidal ideas, intervention to provide patient safety is the priority nursing action. Although establishing a trusting relationship should occur, safety is the nursing priority. Once safety is established, support and reassurance may be provided. A nonstimulating environment should be encouraged once safety is established. Once patient safety is established signs of increased anxiety can be identified.
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