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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While anxiety can cause symptoms like hallucinations, it's typically not associated with a sudden onset due to a physical illness and a high fever.
B. Delirium is an acute confusional state often caused by medical conditions, such as infections (like malaria), and is characterized by rapid onset, fluctuations in consciousness, and disturbances in attention, perception, and cognition. Hallucinations are a common symptom of delirium.
C. Dementia is a progressive decline in cognitive function, which usually develops gradually over time, not suddenly due to a fever.
D. While hallucinations are a symptom of psychosis, they are typically associated with underlying mental health conditions rather than a sudden physical illness.
Correct Answer is C
Explanation
A. While adolescents may have a high rate of suicide attempts, their attempts are not typically as fatal as those in older adults. This is often due to less lethal methods being used, lower intent, and less access to means. Suicide attempts among adolescents tend to have a lower success rate compared to older adults.
B. Young adults also have a notable rate of suicide attempts, but the lethality of these attempts is generally lower compared to older adults. The methods used by young adults may not be as immediately fatal or decisive as those used by older adults.
C. Older adults have a higher success rate in suicide attempts, with a significant portion of attempts resulting in death. One reason for this is that older adults are more likely to use highly lethal methods, such as firearms or overdoses of medication. Additionally, older adults may have a more determined intent to die, and their methods are often more effective at causing death.
D. Middle-aged adults do have a significant rate of suicide attempts, and their attempts are more likely to be fatal than those of adolescents or young adults. However, the success rate is still generally lower than that of older adults.
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