What is the first action a nurse should take upon receiving a call from the mother of a client who refuses to take medication?

The most appropriate initial action for the nurse in this scenario is to ask to speak to the client directly on the phone. By doing this, the nurse can gather firsthand information about the client’s reasons for refusing medication. Engaging with the client allows the nurse to assess their mental state, understand any concerns or misconceptions they may have, and determine the level of their insight regarding their condition and treatment.

This approach fosters a therapeutic relationship and encourages open communication, which is crucial in psychiatric nursing. It empowers the client, allowing them to express their feelings and preferences while providing the nurse with valuable context to address the situation appropriately.

If the nurse were to take other actions, such as contacting a director or suggesting hospitalization immediately, these steps could bypass the opportunity for direct communication with the client. This could potentially escalate the situation or lead to a lack of understanding of the client’s perspective and needs. Engaging directly with the client first can lead to more effective interventions and support.