The client states to the nurse at the outpatient clinic, “I don't feel ready to go back to work. It's only been a week since I left the hospital.” Assessment reveals a flat affect, disheveled...

The client states to the nurse at the outpatient clinic, “I don't feel ready to go back to work. It's only been a week since I left the hospital.” Assessment reveals a flat affect, disheveled appearance, poor posture, and minimal eye contact during interaction. The nurse asks the client whether he is thinking about harming himself. The client tells the nurse he has a loaded revolver at home and will probably use it. Which of the following should the nurse do next?

1. Tell the client to go and remove the gun from his home.

2. Ask the client to call the nurse every hour when he gets home.

3. Ask the client to promise not to harm himself.

4. Initiate plans for hospitalization immediately.