Which action by the nurse supports the safety of a client with self-injurious commands from voices?

The action of inquiring if the client has a plan to harm themselves is a crucial step in ensuring the safety of a client experiencing self-injurious commands from voices. This inquiry allows the nurse to assess the level of risk and determine the immediacy of the threat. By engaging directly with the client about their thoughts and intentions, the nurse can gain valuable insights into the client's mental state, which is critical for formulating an appropriate safety plan.

Understanding whether the client has a specific plan to carry out self-harm helps the nurse to evaluate the potential for imminent danger. If the client does have a plan, this information can signal the need for more intensive interventions, such as increased monitoring, safety precautions, or collaboration with a mental health treatment team.

While asking about the content of the voices may provide some understanding, it does not directly evaluate the risk of self-harm. Ignoring the statements dismisses the seriousness of the situation, and offering distractions could potentially minimize the gravity of the client's experience without addressing the underlying risk. Therefore, directly assessing the client's intentions and plans for self-harm is essential for ensuring their safety and providing appropriate care.