A spouse brings a client to an extremely busy emergency department due to erratic behavior and expressions of despair.

When the triage registered nurse asks if the client feels suicidal now, the client shrugs their shoulders. Based on these findings, which nursing responsibility is the practical nurse expected to be assigned?

Choice A rationale
While making a verbal contract not to harm oneself can be a part of suicide prevention strategies, it is not the immediate responsibility in this scenario. The client’s erratic behavior and expressions of despair indicate a high level of distress and potential risk for self-harm.
Choice B rationale
Returning the client to the waiting room with the spouse does not ensure the client’s safety. The spouse may not be equipped to manage the client’s current emotional state, and the busy environment of the waiting room may exacerbate the client’s distress.
Choice C rationale
Documenting that the client is not currently suicidal is not appropriate in this situation. The client’s non-verbal cues (shrugging their shoulders when asked about suicidal thoughts) may indicate ambivalence or uncertainty about their intent to harm themselves.
Choice D rationale
Placing the client in an inside hallway with one-on-one observation is the most appropriate action. This ensures the client’s safety, allows for continuous monitoring of the client’s condition, and provides an opportunity for further assessment and intervention.

Choice A rationale
A treatment plan serves as an instrument for communication and coordination of care among the healthcare team. It ensures that all members of the team are on the same page regarding the client’s care.
Choice B rationale
The treatment plan helps in evaluating the effectiveness of interventions. By comparing the client’s progress to the goals set in the treatment plan, the healthcare team can determine whether the interventions are working or if they need to be adjusted.
Choice C rationale
The treatment plan guides the planning and implementation of care. It outlines the steps that need to be taken to help the client achieve their health goals.
Choice D rationale
Ensuring that the client follows their treatment is not a purpose of the treatment plan. While the treatment plan can guide the client’s treatment, it is ultimately up to the client to adhere to the treatment.
Choice E rationale
The treatment plan serves as a means of monitoring the client’s progress. Regular reviews of the treatment plan can show whether the client is making progress towards their health goals.