Difficulty: Medium
Average Score: 65%
Simulated
A nurse is caring for a client who has depressive disorder. The client states, 'Everyone would be better off if I were not around.' Which of the following responses should the nurse make?
Correct answer
B
Rationale
The correct answer is B: "Are you thinking of hurting yourself?" This response is crucial as it directly addresses the client's statement about self-harm, allowing the nurse to assess the client's risk for suicide. It demonstrates active listening and concern for the client's safety.
Incorrect responses:
A: Assumes the client will feel better without addressing immediate safety concerns.
C: Guilt-tripping the client by mentioning family does not address the client's current distress.
D: Dismissing the client's feelings without exploring the root cause or assessing the risk.
Overall, option B focuses on addressing the potential risk of harm and initiating further assessment and intervention.
Incorrect responses:
A: Assumes the client will feel better without addressing immediate safety concerns.
C: Guilt-tripping the client by mentioning family does not address the client's current distress.
D: Dismissing the client's feelings without exploring the root cause or assessing the risk.
Overall, option B focuses on addressing the potential risk of harm and initiating further assessment and intervention.