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?
Start discussing potential discharge plans to keep the patient hopeful.
Establish a therapeutic dialogue by expressing empathy and acknowledging the patient’s feelings.
Isolate the patient in a private room to prevent any harm to others.
Immediately arrange for a psychiatric consultation without further discussion.