A severely depressed patient who has been on suicide precautions tells the nurse, "I am feeling a lot better, so you can stop watching me. I have taken too much of your time already." Which is the nurse's best response?
a. "I wonder what this sudden change is all about. Please tell me more."
b. "I am glad you are feeling better. The team will consider your request."
c. "You should not try to direct your care. Leave that to the treatment team."
d. "Because we are concerned about your safety, we will continue with our plan."
ANS: D
When a patient seeks to have precautions lifted by professing to feel better, the patient may be seeking greater freedom in which to attempt suicide. Changing the treatment plan requires careful evaluation of outcome indicators by the staff. The incorrect options will not cause the patient to admit to a suicidal plan, do not convey concern for the patient, or suggest that the patient is not a partner in the care process.
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