The nurse on a psychiatric unit looks through a suicidal client's belongings, removing craft materials and mirrors. This is an example of:
1. Common precautions.
2. An invasion of privacy.
3. A crime in progress.
4. Maximum suicide precautions.
4
Rationale: Look through the client's belongings in the client's presence, and remove any potentially harmful objects, such as pills, matches, belts, shoelaces, pantyhose, brassieres, razors, tweezers, mirrors or other glass objects (such as light bulbs), wire, and craft materials. If suicide precautions are initiated after the client has been on the unit for any length of time, make a complete search of the room. As this helps the client and staff remain safe, it is not considered an invasion of privacy. Searching through a suicidal client's belongings is not a common precaution and is not considered a crime in progress.
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