A Patient with Suicidal Impulses Is on the Highest Level

Multiple Choice

A patient with suicidal impulses is on the highest level of suicide precautions. Which measures should the nurse incorporate into the patient's plan of care? (Select all that apply.)

A) Allow no glass or metal on meal trays.
B) Remove all potentially harmful objects from the patient's possession.
C) Maintain arm's length, one-on-one nursing observation around the clock.
D) Check the patient's whereabouts every hour. Make verbal contact at least three times each shift.
E) Check the patient's whereabouts every 15 minutes, and make frequent verbal contacts.
F) Keep the patient within visual range while he or she is awake. Check every 15 to 30 minutes while the patient is sleeping.