Place the nursing actions in order after an outpatient says,… | MyMerci
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Crisis Intervention

Place the nursing actions in order after an outpatient says, ‘I have a plan to kill myself tonight.’

Ordered Response

Choose your responses, then check the answer.

Ask directly about the current thoughts, plan, timing, access to means, prior attempts, and immediate protective factors
Notify the responsible clinician or emergency team that the client has current intent and cannot be left alone
Remain with the client, move to a safer observable area, remove accessible hazards, and summon trained help
Document the client's words, assessment findings, safety measures, notifications, and disposition
Arrange the urgent mental-health evaluation and secure transfer; involve supports only with consent or as emergency policy permits
Explanation
Stay with the client and reduce immediate access to hazards. Notify the emergency team, then complete a direct focused assessment while continuous observation is maintained. Arrange urgent evaluation and safe transfer. Document objective words, findings, actions, and disposition; do not use a no-suicide contract as evidence of safety.
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For study reference only. Always follow current clinical guidelines and your institution’s protocols.