A client is depressed and has attempted suicide tells the nurse, "I should have died because I am totally worthless which of t responses should the nurse make?
“It is unusual for people who have depression to feel this way."
"You've been feeling that your life has no meaning."
"You have a great deal to live for."
"Why do you feel you are worthless?"
The Correct Answer is B
A. This response is dismissive and invalidating. It may come across as minimizing the client's feelings or suggesting that their experience is abnormal, which can increase feelings of isolation or inadequacy. It’s important to acknowledge the client’s feelings rather than suggesting that their experiences are atypical.
B. This response reflects back the client's feelings in a validating manner. It shows empathy and understanding by acknowledging the depth of their emotional experience. Reflective listening helps the client feel heard and can facilitate further discussion about their feelings and needs.
C. While this statement may be intended to provide hope, it can come across as dismissive of the client's current emotional state. Telling a person they have a lot to live for without addressing their immediate feelings may not resonate with their current perspective and might not be helpful at that moment.
D. This question might come across as interrogative and could potentially make the client feel defensive or pressured. It’s important to approach such sensitive topics with empathy rather than probing questions, which could make the client feel worse or less understood.
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Related Questions
Correct Answer is D
Explanation
A. Suicide rates are high among middle-aged individuals, particularly those between 45 and 64 years old but the highest rates are actually found among older adults and particularly among men. Among all age groups, older adults and young adults (especially males) have notably high suicide rates.
B. Suicide is a significant public health issue in the United States. It affects individuals across various demographics and has serious social, emotional, and economic impacts. The idea that it is "not a problem" is inaccurate and dismissive of the reality of the issue.
C. While antidepressants can be a crucial part of treatment for depression, which is a major risk factor for suicide, they do not fully control or prevent suicide on their own. Suicide prevention requires a comprehensive approach that includes mental health support, therapy, crisis intervention, and social support, among other strategies.
D. In the United States, suicide is indeed one of the leading causes of death. As of recent data, it ranks as the tenth leading cause of death overall. This highlights its significant impact and the need for effective prevention strategies and mental health support.
Correct Answer is C
Explanation
A. During depressive episodes, individuals often experience psychomotor retardation, which can manifest as slow and sluggish movements. In contrast, the manic stage is marked by heightened energy and activity levels.
B. Feelings of extreme sadness and hopelessness are characteristic of the depressive stage of bipolar disorder. During manic episodes, individuals typically experience elevated mood, which might be euphoric, irritable, or excessively optimistic, rather than feelings of sadness or hopelessness.
C. This is a hallmark of the manic stage of bipolar disorder. During a manic episode, individuals often have significantly increased energy levels, engage in numerous activities, and may exhibit restlessness.
This heightened activity can include impulsive or risky behaviors, excessive talking, and a reduced need for sleep.
D. Loss of appetite and weight loss are more commonly seen during depressive episodes of bipolar disorder. During manic episodes, individuals might experience an increased appetite or engage in disinhibited eating behaviors, which contrasts with the decreased appetite often observed in depressive stages.
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