A client hospitalized for depression says, "My family would … | MyMerci
Mental Health ConceptsPSI
Question
A client hospitalized for depression says, "My family would be better off without me." Which response by the nurse is the priority?
1You should focus on the positive things in your life.
2Many people feel sad during hospitalization.
3I will give you privacy so you can rest.
4Are you thinking about killing yourself or making a plan to harm yourself?✓ Correct answer
Explanation
A statement suggesting death or worthlessness requires direct suicide risk assessment. Asking clearly about suicidal thoughts, plan, means, and intent does not put the idea into the client mind and is the priority for safety. Minimizing, giving privacy, or redirecting to positives can miss imminent risk.
In-depth explanation
Clinical Judgment Indirect suicidal statements require direct, specific assessment before reassurance or privacy.
Memory Tip If death is hinted, ask directly.
KR vs US NCLEX therapeutic communication favors clear safety assessment over vague reassurance.
Clinical scenario
Clinical Practice Guide Suicide safety assessment uses direct questions about thoughts, plan, means, intent, and protective factors, followed by safety precautions as indicated.
Caution Never promise secrecy when a client may be at risk for self-harm.
Key concepts
Suicidal Ideation — Thoughts about death, self-harm, or killing oneself that require safety assessment.
Suicide Risk Assessment — Direct assessment of suicidal thoughts, plan, means, intent, prior attempts, and protective factors.
Therapeutic Communication — Purposeful communication that validates feelings and gathers safety-critical information.