The patient says, "I just don't think I can keep going on. I just want it all to end." The nurse assesses that this patient has suicidal ideation. Your best response is:
1. "Do you have any thoughts of harming yourself?"
2. "Have you felt like this before?"
3. "You are just depressed. Once you feel better, you won't think that way."
4. "We will keep you safe here."
1
The best response to a patient who may have suicidal ideation is to ask a simple direct ques-tion to determine the patient's true intent. Having done that, this should be reported at once. All suicidal threats, even mild ones, should be reported and taken seriously.
PTS: 1 DIF: Cognitive Level: Analysis REF: 1247
OBJ: 3 TOP: Mental Status Examination
KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity
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