A home health nurse is visiting a client living with his parents who has severe depression and is considered at risk of suicide. When the client refuses to sign a "no harm" contract, the most appropriate action by the nurse is to
A) call 911, explaining that there is a psychiatric emergency.
B) instruct family members to keep a close watch on the client.
C) schedule another visit for the following day.
D) telephone the physician for a referral to a psychiatric nurse.

Question

Quizplus · Accepted Answer

After instructing the family that a psychiatric emergency exists, the nurse should call 911 and report a psychiatric concern. TJC requires that its organizations identify safety risks for its client population and this requirement includes identifying clients at risk for suicide. Safety of the client is paramount.

A Home Health Nurse Is Visiting a Client Living with His