A patient says, “I have decided to kill myself tonight,” and reports having tablets hidden in the bedside locker. What is the priority nursing action?
Correct answer: C. Stay with the patient and remove access to the tablets
- A. Ask the patient to promise not to self-harm
- B. Leave the patient briefly to inform the family
- C. Stay with the patient and remove access to the tablets
- D. Encourage the patient to discuss positive future plans
Explanation
Immediate safety and continuous observation take priority because the patient has intent, a time, and access to means. A safety promise does not reliably prevent suicide, and the patient should not be left alone while help is arranged.
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About Psychiatric Emergencies
Psychiatric emergencies include suicidal behavior, homicide risk, severe agitation, panic, acute psychosis, delirium, overdose, and withdrawal states. Students examine rapid risk assessment, crisis intervention, de-escalation, environmental safety, emergency medication, observation levels, and the immediate priorities that differ from routine psychiatric nursing care.
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