A tearful, anxious patient at the outpatient clinic reports, "I should be dead." The initial task of the nurse conducting the assessment interview is to:
a. assess lethality of suicide plan.
b. encourage expression of anger.
c. establish rapport with the patient.
d. determine risk factors for suicide.
ANS: C
This scenario presents a potential crisis. Establishing rapport facilitates a therapeutic alliance that will allow the nurse to obtain relevant assessment data such as the presence of a suicide plan, lethality of plan, and presence of risk factors for suicide.
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