A patient with a history of depression presents to the emergency department expressing thoughts of self-harm. The patient does not have a specific plan but feels overwhelmed and hopeless. Which of the following actions is the best initial response by the nurse?
Immediately arrange for a psychiatric consultation without further discussion.
Start discussing potential discharge plans to keep the patient hopeful.
Isolate the patient in a private room to prevent any harm to others.
Establish a therapeutic dialogue by expressing empathy and acknowledging the patient’s feelings.