💊 NCLEX-RN Exam Prep

During an assessment, a client with depression states, "I just wish I wasn't alive anymore, and I have a plan to end it all tonight." What is the nurse's *immediate priority*?

A Ask the client about the specific details of their plan.
B Initiate continuous one-on-one observation and remove all potential means of self-harm.
C Notify the client's family immediately about their suicidal ideation.
D Encourage the client to express why they feel this way.

✓ Correct Answer: Option B

When a client expresses suicidal ideation with a plan, the immediate priority is ensuring safety. This involves continuous one-on-one observation and removing any potential means of self-harm to prevent a suicide attempt.

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