What is the priority nursing action for a client exhibiting suicidal behavior during a home visit?

Asking the client frankly if she has suicidal thoughts or plans is crucial in a situation involving suicidal behavior. This direct approach is essential for several reasons. First, it assesses the immediacy and severity of the risk; clients may feel hesitant to openly discuss their thoughts about suicide unless prompted. By directly addressing the issue, the nurse can establish a rapport and create a safe space for the client to share their feelings and intentions.

Furthermore, this inquiry allows the nurse to gather critical information that can inform the appropriate level of care. Understanding whether the client has a plan, means, or intent to carry out suicide is vital in determining the necessary interventions, including whether emergency services may need to be engaged.

While encouraging the client to discuss her feelings, suggesting alternatives to suicide, and providing a list of resources are important components of suicide prevention and support, establishing the presence of suicidal thoughts and plans must take precedence. It directly addresses the most pressing concern—the client's safety. The immediate knowledge gained from this conversation can guide all subsequent actions, making it the priority nursing action in this scenario.