What should a nurse first assess in a newly admitted client showing signs of depression?

In assessing a newly admitted client who is showing signs of depression, prioritizing the assessment of whether the individual is considering self-harm is crucial. This focus stems from the understanding that depression can significantly increase the risk of suicidal ideation or actions. Identifying any thoughts, plans, or history related to self-harm helps to ensure the safety of the client, which is paramount in psychiatric nursing practice.

The assessment of self-harm risk opens the door to appropriate interventions and support. It sets the stage for a comprehensive evaluation of the client’s mental state and allows the clinician to develop a care plan that includes safety measures. Such proactive assessment can help mitigate risks and guide further therapeutic approaches, ensuring the client receives the necessary attention and resources to address their mental health needs.