The statement made by the patient during the assessment interview that should alert the nurse to the patient's need for immediate, active intervention is:
a. "I am mixed up, but I know I need help.".
b. "I have no one to turn to, you're my last hope.".
c. "Why doesn't anyone care anymore?"
d. "It's a long, rough road out there, very hard.".
B
Lack of social support and social isolation increase the suicide risk, and "you're my last hope" suggests that the person is out of options if help does not occur now—a covert expression of suicidal ideation. A willingness to seek help suggests lower risk. "Why doesn't anyone care?" suggests a sense of isolation but does not necessarily indicate a high degree of risk. "It's rough" conveys that the person is experiencing hardship but not necessarily that he is at risk.
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