A nurse is teaching a newly licensed nurse about heparin-induced thrombocytopenia. Which of the following risk factors for this disorder should the nurse include in the teaching?

A. Lethality of the method and availability of means. Assessing the method and means helps determine the immediacy and seriousness of the threat. Knowing the lethality of the method and whether the means are readily available informs the level of intervention needed to keep the client safe.

B. Client's educational and economic background: While socioeconomic factors can influence mental health, they are not immediate priorities in a suicidal crisis.

C. Client's insight into the reasons for the decision: Insight is important for understanding motivations but is secondary to immediate safety concerns.

D. Quality of the client's social support: Social support is crucial but is secondary to assessing imminent risk of harm.

A. Withdrawing socially from family and friends: While social withdrawal can be a sign of depression and potential suicidal thoughts, it doesn't necessarily indicate immediate risk.

B. Complaining about feeling great guilt or shame: Reflects emotional distress but not an immediate risk indicator.

C. Engaging in risky behavior, such as fast driving: Risky behavior can be a sign of self-destructive tendencies, but it doesn't always indicate a suicide attempt.

D. Feeling physical and emotional pain that is unbearable: Feeling unbearable physical and emotional pain is a powerful indicator of desperation and can lead someone to consider suicide as an escape. This intense level of distress suggests a higher risk of immediate action.