When caring for a client grieving the loss of a child and showing distress, what should the nurse ask first?

In situations involving grief, particularly the profound loss of a child, the mental well-being and safety of the client is of utmost importance. Asking if the client has thought of harming themselves addresses immediate safety concerns and supports the nurse’s duty to assess for suicidal ideation. This approach not only recognizes the intense emotional pain associated with such a loss but also provides an opportunity to directly engage the client about their mental state.

Understanding that grief can trigger deep emotional distress, it is crucial for the nurse to assess for any risk of self-harm. If the client is having suicidal thoughts, immediate intervention may be necessary to ensure their safety. This question prioritizes the client's mental health and safety, establishing a foundation for further dialogue and support.

The other options, while relevant for providing support and facilitating healing, may not address the most urgent need of assessing the client's mental state in the moment of acute grief. Thus, starting with an inquiry about self-harm is a critical first step for nurses in such emotionally charged situations.