Which client should the nurse at a mental health clinic assess first?

The rationale for prioritizing the client expressing a desire to be with their deceased family lies in the potential for suicidal ideation and the immediate risk factors associated with that expression. This statement might indicate deep emotional distress, feelings of hopelessness, or a longing for escape from current circumstances, all of which could suggest that the client is contemplating self-harm or has thoughts of suicide. In mental health settings, assessing for risk to self is a critical priority, as suicide is a leading cause of death among individuals with mental health disorders.

While the other clients have important needs as well, they may not present an immediate crisis requiring urgent intervention. The client with post-partum depression may need support and treatment, but their condition typically involves a longer-term management plan. The client suspected of anorexia nervosa requires careful nutritional assessment and may be at risk for various health complications, but they are not necessarily in immediate danger. The client who is washing their hands multiple times may exhibit symptoms of obsessive-compulsive disorder, which can be distressing, yet it does not typically indicate acute risk to self. Therefore, the client expressing a desire to be with their deceased family should be prioritized for immediate assessment and intervention to ensure their safety.