A client who has major depressive disorder states to the nurse that he and his family would be better off if he were gone. Which of the following is the nurse’s priority response?<\/p>\n\n\n\n
A.
“Are you thinking of harming yourself?”<\/p>\n\n\n\n
B.
“Do you really think your family would be better off without you?”<\/p>\n\n\n\n
C.
“When did you first start feeling this way?”<\/p>\n\n\n\n
D.
“Tell me what is happening right now.”<\/p>\n\n\n\n
The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n The correct answer is:<\/p>\n\n\n\n A. “Are you thinking of harming yourself?”<\/strong><\/p>\n\n\n\n Explanation:<\/strong><\/p>\n\n\n\n When a client with major depressive disorder (MDD) expresses thoughts that imply they believe their family would be better off without them, this is a significant indication that they might be considering self-harm or suicide. The nurse’s priority in this situation is to assess the immediate risk of self-harm or suicidal ideation. The question, “Are you thinking of harming yourself?” directly addresses this potential risk and helps gauge the severity of the client’s suicidal thoughts.<\/p>\n\n\n\n Here\u2019s why the other options are less appropriate in this situation:<\/p>\n\n\n\n B. “Do you really think your family would be better off without you?”<\/strong> C. “When did you first start feeling this way?”<\/strong> D. “Tell me what is happening right now.”<\/strong> In summary, the priority is to assess whether the client is at risk of harming themselves. Once the immediate risk is determined, the nurse can then proceed with further interventions and support based on the client\u2019s needs.<\/p>\n","protected":false},"excerpt":{"rendered":" A client who has major depressive disorder states to the nurse that he and his family would be better off if he were gone. Which of the following is the nurse’s priority response? A.“Are you thinking of harming yourself?” B.“Do you really think your family would be better off without you?” C.“When did you first […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-138605","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/138605","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=138605"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/138605\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=138605"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=138605"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=138605"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
While this question might prompt the client to reflect on their thoughts, it does not address the immediate concern of self-harm or suicide. It\u2019s important to first assess whether there is an imminent risk to the client\u2019s safety before engaging in discussions that might explore their feelings or beliefs further.<\/p>\n\n\n\n
Understanding the duration of the client’s feelings can be important for treatment, but it is secondary to ensuring their immediate safety. This question does not directly assess the current risk of self-harm or suicide.<\/p>\n\n\n\n
While this question can provide valuable context about the client’s current state, it does not specifically address the risk of self-harm. It is crucial to prioritize questions that directly assess and address safety concerns first.<\/p>\n\n\n\n