A depressed patient says, "nothing matters anymore." What is the most appropriate response by the nurse?
Try to stay hopeful. Things have a way of working out."
"Are you having thoughts of suicide?"
"Tell me more about what interested you before you became depressed."
"I am not sure I understand what you are trying to say."
The Correct Answer is B
A. Offering platitudes can minimize the patient’s feelings and may shut down further disclosure.
B. Directly asking about suicidal thoughts is the most important and therapeutic response because the statement expresses hopelessness, a major risk factor for suicide. This question assesses immediate safety and guides next steps (ask about intent, plan, means; implement suicide precautions and notify the provider as indicated).
C. Exploring past interests can be therapeutic later, but it does not address the immediate safety concern suggested by the patient’s hopeless statement.
D. Saying you don’t understand is vague and avoids addressing the potential crisis; a direct, nonjudgmental assessment of suicidal ideation is required.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Methadone (Methadose) is used as opioid replacement therapy to prevent withdrawal symptoms, not primarily to maintain abstinence.
B. Naltrexone (Vivitrol) is an opioid antagonist that helps maintain abstinence in patients with alcohol or opioid dependence by reducing cravings and blocking the euphoric effects of these substances.
C. Disulfiram (Antabuse) is used specifically for alcohol dependence; it causes unpleasant reactions if alcohol is consumed but does not address opioid addiction.
D. Bromocriptine (Parlodel) is used for Parkinson’s disease and certain endocrine disorders; it is not indicated for maintaining abstinence from alcohol or opioids.
Correct Answer is B
Explanation
A. Judging the patient can shut down communication and make the patient feel defensive rather than heard.
B. This technique, also called reflective listening, shows the patient that the nurse is actively listening and trying to understand their perspective, encouraging further expression.
C. Direct questions can be useful, but they may limit patient expression and can feel leading rather than supportive.
D. While intended to show empathy, this phrase can be perceived as dismissive if the nurse has not fully explored the patient’s feelings.
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