The patient tells the nurse, "I want to die.". Which is the best response by the nurse to facilitate therapeutic communication?
a. "Now why would you say a thing like that?"
b. "Tell me more about how you're feeling.".
c. "We need to tell the provider how you feel.".
d. "You have too much to live for to say that.".
B
The patient's statement warrants further investigation to determine how serious the patient is about dying and whether he or she has a plan. Research on suicide supports the claim that pa-tients with well-established suicide plans are more likely to carry out the plan; thus details about the patient's feelings on dying and suicide plans are important for preventing self-injury and planning medical therapy, nursing care, and patient safety. To elicit more information from the patient, the nurse allows the patient to expand on the statement, "I want to die" by stating, "Tell me more.". The statement displays concern for and value of the patient by acknowledging the pa-tient's message and encouraging him or her to continue. Safety is a major concern when a patient wants to die, and the remaining options are unlikely to further the discussion, keep the patient safe, or facilitate therapeutic communication.
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