Which of the following is a characteristic of tardive dyskinesia?

A. Educate the patient about the time period before new medications become effective. Education is important but not the priority in a crisis situation. Immediate safety is the top concern.

B. Have the client verbalize their plans for discharge. This is a future-oriented intervention, but the priority is ensuring the client's safety now.

C. Encouraging the client to participate in group therapy. Group therapy is beneficial but does not take precedence over ensuring immediate safety.

D. Monitor the client closely but at random intervals. Patients with suicidal ideation require close monitoring to prevent self-harm. Observing at random intervals reduces the chance of the patient anticipating when they are not being watched.

A. Allow the client time alone to self-reflect.: Suicidal clients should not be left alone. They require immediate assessment and intervention.

B. Reassure the client that everything is going to work out.: Offering false reassurance can invalidate the client’s feelings and may discourage further discussion of their distress.

C. Ask the client about the lethality of their plan.: The nurse should assess the specifics of the client’s plan to determine the level of risk. A detailed, lethal plan indicates a higher suicide risk and requires immediate intervention.

D. Encourage the client to focus on the positive aspects of life.: While positive reinforcement is helpful, it does not address the immediate risk of suicide. The nurse should prioritize risk assessment and safety.