The nurse is performing a focused assessment on a client experiencing depression. The client makes the statement that life and trying to live are useless. How should the nurse respond to the client?
1. "Why do you feel like this?"
2. "You shouldn't feel like that."
3. "Shall I call your children?"
4. "Have you thought about hurting yourself?"
Answer: 4
1. Asking the client why she feels this way is a form of challenge for the client to justify the feelings. Many would not be able to give an answer to the question.
2. The nurse never tells the client that she shouldn't have feelings. Feelings are not right or wrong, they just are, and the nurse's job is to get at the reason for the statement by encouraging conversation.
3. Asking about calling the family could be seen as punitive and is an evasion of the issue.
4. It is acceptable to explore the possibility of suicide.
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