If a resident expresses thoughts of ending their life, what should you do first?

When a resident expresses thoughts of ending their life, the most critical response is to notify the nurse immediately. This action is correct because the nurse has the training and authority to assess the situation fully and determine the appropriate intervention. The nurse can conduct a more comprehensive evaluation of the resident's mental state, implement safety protocols, and coordinate any necessary support or intervention with mental health professionals.

It's important to prioritize the health and safety of the resident, as they may require immediate intervention to prevent harm. Additionally, timely reporting ensures that the situation is addressed with the seriousness it deserves, facilitating a quicker response to protect the individual's well-being.

While involving family members, respecting confidentiality, or consulting another nursing assistant may seem relevant, these actions could delay the necessary support and intervention the resident needs in a potentially life-threatening situation. Thus, notifying the nurse at once is the most appropriate and responsible first step in this scenario.