The correct answer is; Asking the client to describe any thoughts of self-harm.
Further Explanation:
It is always imperative that the nurse asks each patient if they are having any thoughts of self-harm or suicidal thoughts. It is during this part of the assessment where the nurse will determine if the patient needs follow up care with the psych department.
If the patient is having thoughts of self-harm, the nurse will then inform the doctor and team. The doctor will make the ultimate decision on what the next phase of treatment will be. If the patient is acute, they may be admitted into a psych ward and placed on a 1:1 for observation and to keep them from harming themselves.
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