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. Making positive statements about body image is important for psychological recovery but is secondary to restoring physical health.
B. Achieving a healthy weight is the priority goal, as physical stabilization is essential to prevent life-threatening complications of malnutrition.
C. Feeling in control of behavior is a therapeutic goal, but it is not the immediate priority compared to addressing life-threatening weight loss.
D. Identifying family dynamics is important for long-term support and autonomy but is secondary to immediate physical health needs.
Correct Answer is B
Explanation
A. This is more commonly associated with phencyclidine (PCP) or alcohol intoxication, not cocaine.
B. Cocaine is a powerful stimulant that activates the sympathetic nervous system. This results in mydriasis (dilated pupils), increased heart rate, elevated blood pressure, hypervigilance, and euphoria.
C. Depression is more likely during cocaine withdrawal, not intoxication.
D. Like depression, hypersomnia is a withdrawal symptom. Intoxication typically causes insomnia and restlessness.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.