Psychosocial IntegrityQuestion 1585 of 2368

During a health history, a client describes a specific plan for self-harm and the nurse believes the client is at high risk. What should the nurse do?

  1. Leave to obtain the provider's orders and return after the interview
  2. Ask the client to promise not to act and complete the history
  3. Reassure the client and schedule a mental health referral next week
  4. Stay with the client and collaborate on an immediate plan for emergency care
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Correct answer: Stay with the client and collaborate on an immediate plan for emergency care

A client at high risk should not be left alone, and the nurse works with them on an immediate emergency care plan. Age is not a factor in the risk determination.

Source: Nursing Skills, 2nd edition (Open RN, Chippewa Valley Technical College, 2023), Health History: Mental Health. Licensed under CC BY 4.0.

Practice the topic "Psychosocial Integrity"

Questions last reviewed: 18 October 2026