A nurse is caring for a white man age 30 years whose wife has recently died. The client has been diagnosed with clinical depression and is demonstrating insufficient coping skills. Which action by the nurse would be most important?
A) Refer the client for long-term psychotherapy.
B) Determine the client's risk of psychosis.
C) Determine whether anyone in the client's family has had depression.
D) Ask the client whether he is thinking about killing himself.
Ans: D
The nurse should first ask whether the client is thinking about killing himself, because statistics show that among young, recently widowed white men between the ages of 20 and 34 years, the suicide risk is 17 times higher than that of married men in that same age group. Social isolation and access to firearms play important roles in this group. Information related to psychosis, psychotherapy, or family history would be less of a priority at this time.
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