In a situational crisis, what should a nurse do first for a client with a history of depression?

In a situational crisis, it is crucial for the nurse to first confirm the client's perception of the event. Understanding how the client views and interprets the crisis is essential for several reasons. It allows the nurse to assess the client’s current emotional state, validate their feelings, and tailor interventions appropriately.

When a client is facing a crisis, especially someone with a history of depression, their perception can be significantly influenced by their mental health status. By confirming their perception, the nurse gains insight into what the client is experiencing, which is critical for establishing rapport and trust. This understanding forms the foundation for effective communication and intervention.

Taking this initial step enables the nurse to gauge the level of distress and determine the best course of action moving forward. It also informs the assessment of any immediate risks, such as suicidal ideation, and allows for a more targeted response to help stabilize the client. Other actions, although important, are secondary to understanding the client's perspective as it informs all subsequent nursing actions and interventions.