Based on the client’s statement about ending his life, which nursing action is the priority?

• A. Inquire if the client has a plan for ending his life
• B. Remove all items from the meal tray that can cause harm
• C. Ensure the client is placed on suicide watch
• D. Notify the chaplain for spiritual support

Answer: (A)

Assessing suicidality to determine immediacy of danger is the priority. When a client mentions ending his life, the first step is to elicit information about a concrete plan, including timing and means. This risk assessment clarifies how imminent the danger is and guides the next actions, such as safety precautions or urgent psychiatric evaluation. Removing potentially harmful items and implementing suicide precautions are essential safety measures, but they should follow from a clear understanding of the level of risk. Spiritual support is important but does not address the immediate safety concern. By asking about a plan, you obtain the crucial information needed to decide the appropriate level of intervention.