A Client Diagnosed with Major Depressive Disorder with Psychotic Features

question 14

Multiple Choice

A client diagnosed with major depressive disorder with psychotic features hears voices commanding self-harm. The client refuses to commit to developing a plan for safety. Which would be the nurse's priority intervention at this time?

• A) Obtaining an order for locked seclusion until client is no longer suicidal
• B) Conducting 15-minute checks to ensure safety
• C) Placing the client on one-to-one observation while monitoring suicidal ideations
• D) Encouraging the client to express feelings related to suicide

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