A nurse in a community clinic is caring for a client whose partner was just killed by a drunk driver. The client states, "I have no idea how I even got here. I cannot think right now." Which of the following actions should the nurse take first?

Assist the client in prioritizing decisions that must be made.

Determine whether the client is at risk for self-harm.

Help the client to identify personal strengths he can use in a crisis situation.

Identify a support person to notify and to take the client home.