Practice Question
A nurse is caring for a client who states, 'Things will never work out." Which of the following responses should the nurse make?
Answer Choices:
Correct Answer:
"Have you been thinking about harming yourself?"
Rationale:
🟥 This response reflects a direct and therapeutic assessment for suicide risk, which is essential when a client expresses hopelessness.
🟥 Asking about suicidal ideation does not plant the idea in a client’s mind; rather, it opens a safe dialogue and allows for accurate risk assessment.
🟥 It demonstrates professional responsibility and compassion, ensuring that any imminent risks are addressed promptly.
🟥 Suicide risk screening is a standard nursing practice in both inpatient and outpatient mental health settings.
🟥 If the client endorses suicidal thoughts, the nurse can initiate safety precautions, provider notification, and emergency psychiatric intervention.
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This question is from RN ATI Mental Health Exam-2023 which contains 56 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Mental Health
- Answer Choices: 4