A patient with a major depressive disorder states, "I don't care about anything anymore." What is the nurse's best response?
1. "You have such a good life!"
2. "Are you feeling suicidal?"
3. "Don't worry. You'll feel better tomorrow."
4. "What about your children? They are so cute and wonderful!"
Answer: 2
Explanation: Patients with depressive and bipolar disorder are at increased risk for suicide; ongoing assessment for suicide is an essential component of caring for these patients. "Are you feeling suicidal?" asks the patient directly about suicide. It assesses for initial suicidal risk and the need for increased safety precautions. "What about your children? They are so cute and wonderful!" changes the topic, and a cheerful attitude about the children does not make a depressed person feel better or assess for safety needs. "You have such a good life!" does not encourage expression of thoughts and feelings. "Don't worry. You'll feel better tomorrow" offers false reassurance.
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