What should be the nurse's priority intervention when a depressed client on a psychiatric unit asks to discuss writing out a will with the hospital lawyer?
The nurse's priority intervention in this situation is to discuss thoughts and explore the intent for suicide with the client. The client's request to discuss writing out a will may indicate a significant level of distress and potential suicidal thoughts. It is crucial for the nurse to assess the client's mental state, evaluate the severity of their depressive symptoms, and explore any thoughts or intentions of suicide.
By engaging in a therapeutic conversation about suicidal ideation, the nurse can gather valuable information to determine the appropriate course of action. This may involve informing the physician, initiating a suicide watch if necessary, and providing interventions to ensure the client's safety and well-being. Promptly addressing the client's suicidal ideation is essential for their immediate safety and the development of an effective care plan.
Assessing the Client's Mental State
Assessing the client's mental state is crucial in determining the appropriate intervention. The nurse should be observant of any signs of distress, hopelessness, or expressions of suicidal ideation. It is important to create a safe and supportive environment for the client to open up about their feelings and thoughts.
Exploring Thoughts and Intent for Suicide
Exploring the client's thoughts and intent for suicide is essential in developing an effective care plan. By having an open and honest conversation with the client, the nurse can gain insight into the client's emotional state and level of distress. This information is valuable in determining the next steps in providing appropriate care and support.
Informing the Physician and Providing Interventions
Informing the physician and providing interventions are crucial steps in ensuring the client's safety. The nurse should collaborate with the healthcare team to develop a comprehensive care plan that addresses the client's mental health needs. This may include medication management, therapy sessions, and continuous monitoring of the client's well-being.
In conclusion, when a depressed client on a psychiatric unit asks to discuss writing out a will with the hospital lawyer, the nurse's priority intervention should be to discuss thoughts and explore the intent for suicide. By addressing the client's suicidal ideation promptly and effectively, the nurse can play a vital role in ensuring the client's safety and well-being.