Which intervention should a nurse recommend for a client on suicide precautions?

Encouraging the client to sign a no-harm contract is an important intervention as it fosters a sense of responsibility and commitment from the client regarding their own safety. This contract typically outlines the client's promise not to engage in self-harm and may include plans for what to do if they feel suicidal. It promotes a therapeutic alliance between the nurse and the client, enhancing communication and trust, which can play a significant role in suicide prevention.

By involving the client in their safety plan, it can empower them and make them feel more in control of their situation. This collaborative approach can also encourage them to reach out for help when feeling distressed.

In contrast, the other interventions while important, might not offer the same level of engagement and encourage the client's autonomy. Removing potentially harmful items can be a critical safety measure, but it does not directly involve the client in their care and coping strategies. Restricting all visitors could lead to feelings of isolation, which might exacerbate a client's emotional state. Administering sedatives, while it may help with immediate anxiety, does not address the underlying issues nor involve the client in proactive planning for their safety. Thus, fostering the client's participation through a no-harm contract is an evidence-based practice that emphasizes collaboration and accountability