A nurse is implementing a one-on-one suicide observation level with a client diagnosed with major depressive disorder. The client states, "I'm feeling a lot better, so you can stop watching me. I have taken up too much of your time already
" Which is the best nursing reply? A. "I really appreciate your concern but I have been ordered to continue to watch you."
B. "Because we are concerned about your safety, we will continue to observe you."
C. "I am glad you are feeling better. The treatment team will consider your request."
D. "I will forward you request to your psychiatrist because it is his decision."
B
Often suicidal clients resist personal monitoring, which impedes the implementation of a suicide plan. A nurse should continually observe a client when risk for suicide is suspected.
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