Crisis Intervention and Suicidal Ideation · NCLEX Exam

A client expresses suicidal ideation but claims to have no means at home. What should the nurse do next?

  1. Assume there is no risk because there are no means at home.
  2. Ask further about access to other means or other locations.
  3. Accept the statement at face value and proceed to discharge.
  4. End the interview because the client denies current intent.
Show answer and explanation

Correct answer: Ask further about access to other means or other locations.

Asking about access to means elsewhere is essential since risk can still exist despite client saying 'nothing at home.'

Difficulty: Medium Question 11 of 20

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