Practice Question
A nurse is caring for a client who has major depressive disorder and states that he has given away his personal belongings. Which of the following responses should the nurse make?
Answer Choices:
Correct Answer:
"Can you tell me how you have been feeling lately?"
Rationale:
♦️This open-ended question allows the nurse to assess the client’s emotional state and understand the context of their behavior, encouraging the client to share their feelings without judgment.
♦️Giving away personal belongings can be a sign of hopelessness or preparation for death, which is an important indicator of suicidal ideation.
♦️The nurse needs to explore these feelings further to ensure the client’s safety.
♦️Asking “Why did you feel like giving away your belongings?” may sound accusatory or lead to defensiveness, while “Everyone feels a little down sometimes” minimizes the gravity of the situation.
♦️"You should find a support group to attend" is a premature response before understanding the full emotional context.
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This question is from RN Mental Health-2023 Exam 2 which contains 54 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Mental Health
- Answer Choices: 4