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Which response by the nurse is most appropriate at this time?

Three weeks following discharge, a male client is readmitted to the psychiatric unit for depression. His wife stated that he had threatened to kill himself with a handgun. As the nurse admits him to the unit, he says, “I wish I were dead because I am worthless to everyone; I guess I am just no good.”

Which response by the nurse is most appropriate at this time?
A . “I don’t think you are worthless. I’m glad to see you, and we will help you.”
B . “Don’t you think this is a sign of your illness?”
C . “I know with your wife and new baby that you do have a lot to live for.”
D . “You’ve been feeling sad and alone for some time now?”

Answer: D

Explanation:

(A) This response does not acknowledge the client’s feelings.

(B) This is a closed question and does not encourage communication.

(C) This response negates the client’s feelings and does not require a response from the client.

(D) This acknowledges the client’s implied thoughts and feelings and encourages a response.

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