Registered Practical Nurse (RPN) Practice Test

When a potentially suicidal client confides in a nurse, what should the nurse do first?

1. Encourage the client to express feelings

2. Notify the client's physician of the client's intent

3. Assure the client that everything will be okay

4. Document the conversation in the client's chart

The correct answer is: Notify the client's physician of the client's intent

The most appropriate initial action when a potentially suicidal client confides in a nurse is to notify the client's physician of the client's intent. This step is critical because it ensures that the client receives immediate clinical assessment and intervention. When a client expresses suicidal thoughts or intent, it is indicative of a serious medical and psychological condition that requires prompt attention from a healthcare provider. By informing the physician, the nurse ensures that a comprehensive evaluation can take place, which may include a risk assessment and the implementation of a safety plan for the client. In situations involving potential self-harm, prioritizing client safety through professional collaboration is essential. In such cases, taking swift action can help prevent possible harm and promote the well-being of the client. The nurse must adhere to protocols that facilitate communication with the treatment team to ensure that all necessary measures are taken to support the client's mental health.