Nokea
A client has been severely depressed and suicidal. After admission to an inpatient psychiatric unit, antidepressant medication is administered. As the client becomes more energized and communicative, what should be the priority nursing intervention for this client?
Correct Answer: C
Rationale: Correct Answer: C - Increasing the vigilance regarding the client's suicidal precautions
Rationale:
1. The client was admitted for severe depression and suicidal ideation, indicating a high suicide risk.
2. Antidepressants can initially increase energy before improving mood, potentially raising suicide risk.
3. As the client becomes more energized and communicative, the risk of impulsive actions, including suicide, may increase.
4. Therefore, increasing vigilance and maintaining strict suicidal precautions are crucial to ensure the client's safety.
Summary of Incorrect Choices:
A: Allowing unsupervised passes may expose the client to triggers or opportunities for self-harm.
B: Group activities can be beneficial but do not address the immediate safety concern of suicidal risk.
D: Assuming suicidal potential has decreased prematurely can be dangerous, as the client may still be at risk.