The nurse is planning care for a patient with severe mental illness who tells the nurse, "I am sad all the time and I don't have any motivation to keep going." Which nursing intervention takes priority?
1. Instill hope.
2. Instill empathy.
3. Assess the patient for suicidal ideation.
4. Assess the patient for disturbed sleep patterns.
Answer: 3
Explanation: Because the patient is expressing hopelessness by saying "I don't have any motivation to keep going," the priority is to assess the patient for suicidal ideation. The patient has not expressed disturbed sleep patterns, so this is not a priority. While it is important for the nurse to instill hope and empathy, these are not the priority
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