A Client Diagnosed with Major Depressive Episode Hears Voices Commanding

A client diagnosed with major depressive episode hears voices commanding self-harm. Which should be the nurse's priority intervention at this time?

A) Obtaining an order for locked seclusion until client is no longer suicidal
B) Conducting 15-minute checks to ensure safety
C) Placing the client on one-to-one observation while continuing to monitor suicidal ideations
D) Encouraging client to express feelings related to suicide

Correct Answer:

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