A Patient with Suicidal Impulses Is on the Highest Level

question 7

Multiple Choice

A patient with suicidal impulses is on the highest level of suicide precautions. Which measures should the nurse incorporate into the patient's plan of care? (Select all that apply.)

• A) Allow no glass or metal on meal trays.
• B) Remove all potentially harmful objects from the patient's possession.
• C) Maintain arm's length, one-on-one nursing observation around the clock.
• D) Check the patient's whereabouts every hour. Make verbal contact at least three times each shift.
• E) Check the patient's whereabouts every 15 minutes, and make frequent verbal contacts.
• F) Keep the patient within visual range while he or she is awake. Check every 15 to 30 minutes while the patient is sleeping.

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