An older adult tells the nurse, “I have decided how I will end my life next week,” and describes access to the method. What is the nurse's priority action?
Correct answer: C. Remain with the patient and initiate urgent safety measures
- A. Leave the patient alone to promote privacy
- B. Ask the patient to promise not to act
- C. Remain with the patient and initiate urgent safety measures
- D. Suggest that the patient discuss the plan at the next appointment
Explanation
A specific plan, time, and access to means indicate immediate suicide risk, so the nurse must stay with the patient and obtain urgent support. A safety promise alone is not a sufficient intervention, and delaying assessment increases danger.
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About Mental Health of Children and Older Adults
Mental health care for children and older adults requires age-appropriate assessment, communication, family involvement, and recognition of developmental changes. Coverage includes ADHD, autism spectrum disorder, childhood anxiety and depression, dementia, delirium, late-life depression, suicide risk, and the distinction between normal aging and cognitive disorder.
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