A nurse is assessing a client for potential suicidal ideation. The client says, "I've been thinking a lot about death lately. I wonder what it's like to not exist anymore." What would be an appropriate response by the nurse?

Choice A rationale:

Identifying and challenging positive thoughts is a cognitive-behavioral strategy that can be beneficial for managing mental health, but it is not the top priority in suicide prevention education. While it contributes to overall emotional well-being, recognizing signs of suicide risk is more directly relevant to preventing self-harm.

Choice B rationale:

Recognizing the signs and symptoms of suicide risk is crucial for early intervention and support. Educating clients and their families about these signs, such as increased isolation, giving away possessions, or talking about death, enables them to identify when someone might be in danger and take appropriate action.

Choice C rationale:

Promoting alcohol consumption as a stress-relieving strategy is inappropriate in a suicide prevention context. Alcohol can exacerbate emotional distress and impair judgment, potentially leading to impulsive behaviors, including self-harm. This choice goes against safe and effective strategies for managing distress.

Choice D rationale:

Encouraging isolation during times of distress is counterproductive and potentially harmful. Isolation can exacerbate feelings of loneliness and hopelessness, increasing the risk of suicidal ideation and actions. Connecting with a support network is a more appropriate recommendation during times of distress.

The client has a subjective state with limited personal choices.

Choice A rationale:

The client is at risk for self-inflicted, life-threatening injury. This choice does not accurately define the nursing diagnosis of "Hopelessness." While it is true that hopelessness can lead to self-harm or suicide, the nursing diagnosis focuses on the client's emotional state and personal choices rather than the immediate risk of injury.

Choice B rationale:

The client has a subjective state with limited personal choices. This choice accurately defines the nursing diagnosis of "Hopelessness." Hopelessness refers to the client's emotional state of feeling devoid of hope, often resulting in a perceived lack of personal choices and options. This sense of hopelessness can contribute to feelings of despair and potentially suicidal ideation.

Choice C rationale:

The client is unable to cope with stressors. This choice is not the most accurate definition of "Hopelessness." While hopelessness can certainly impact a client's ability to cope with stressors, the primary focus of the diagnosis is on the subjective emotional state and perceived lack of choices, rather than their coping abilities.

Choice D rationale:

The client experiences compromised family coping. This choice is not directly related to the nursing diagnosis of "Hopelessness." Family coping refers to how a family unit manages stressors together, whereas hopelessness pertains to an individual's emotional state and perceived choices.

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