An adult male client is admitted to a mental health facility with the diagnosis of depression following the end of a long-term engagement.

He states that he couldn’t “commit to marriage.”. During his admission assessment, the nurse learns that he did not feel guided, nurtured, or accepted by his parents during his childhood.

One of the goals for this client is to help him develop a positive personal identity.

Which intervention should the nurse implement to meet this goal?

Choice A rationale
While understanding a patient’s past experiences can provide context for their current emotional state, it may not directly address the immediate risk of suicide. It’s important to focus on the present situation and the patient’s current feelings.
Choice B rationale
If a patient has a specific plan for suicide, it indicates a higher level of risk. By asking about their plan, the nurse can assess the immediacy and severity of the patient’s suicidal intent. This information is crucial for determining the appropriate level of care and intervention.
Choice C rationale
This question could be interpreted as validating or encouraging the patient’s suicidal thoughts. It’s essential to promote safety and positive coping strategies, rather than focusing on the perceived benefits of suicide.
Choice D rationale
While it’s important to understand the feelings driving a patient’s suicidal thoughts, asking why they want to end their life can come across as judgmental. It’s more helpful to ask about their feelings and listen empathetically.

Choice A rationale
While loss of interest in activities can be a symptom of depression, it is not the most common behavior exhibited by adolescents with depression.
Choice B rationale
Mood swings can occur in adolescents with depression, but they are not the most common behavior.
Choice C rationale
Depressed mood is a symptom of depression, but it is not the most common behavior exhibited by adolescents with depression.
Choice D rationale
Irritable moods and acting out are the most common behaviors exhibited by adolescents with depression, as per the school health nurse’s knowledge.