The nurse is assessing a client who has threatened to commit suicide. The next action by the nurse would be to:
1. determine what the plan is.
2. notify the physician.
3. determine access to the plan.
4. assess the lethality of the plan.
Answer: 1
1. Once the client has admitted to suicidal ideation, the nurse asks the client if he has a plan.
2. Notifying the physician and team members is completed after the assessment is complete.
3. Determining access to the plan is completed after the nurse has determined the lethality of the plan.
4. Assessing the lethality of the plan is completed once the client admits to having a plan.
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