What should a nurse prioritize when caring for a client with a history of suicidal ideation?

When caring for a client with a history of suicidal ideation, establishing a safety plan for crisis situations is paramount. A safety plan is a proactive strategy where the client is guided to identify warning signs, coping strategies, sources of support, and steps to take when experiencing suicidal thoughts. This individualized plan empowers the client and provides them with tools to manage moments of crisis effectively.

Prioritizing a safety plan ensures a structured approach to maintaining the client’s safety and addressing immediate risks, which is a critical aspect of suicide prevention. The establishment of this plan can also promote a sense of control for the client over their mental health challenges.

Other options, while important in the care continuum, do not address the immediate and pressing need to ensure the client's safety. Participating in group therapy can be beneficial but may not be sufficient without first establishing a solid framework for crisis management. Administering medications can play a crucial role in treatment, but medications take time to work and should be part of a comprehensive care plan that includes crisis management. Encouraging familial support is valuable, yet it primarily serves as an adjunct to a well-defined safety plan rather than a primary action step.