Psychosocial Integrity

"I won't be a burden much longer": the best response

Question

A client being treated for depression tells the nurse, "I won't be a burden to anyone much longer." What is the nurse's best response?

  1. A"Why would you say something like that?"
  2. B"Are you thinking about killing yourself?"
  3. C"You have so much to live for. Things will get better."
  4. D"Let's talk about something more positive."
Show the answer and rationale

Correct answer: B

  1. A. Incorrect. A "why" question can sound like a challenge and put the client on the defensive, and it still avoids asking about suicide.

  2. B. Correct. The statement may point to suicidal thinking, so the nurse asks directly. NIMH says studies show asking about suicidal thoughts and behaviors does not cause or increase them, and asking directly can be the best way to identify someone at risk. A yes leads to questions about a plan and to keeping the client safe.

  3. C. Incorrect. Reassurance ends the conversation and skips the question that matters.

  4. D. Incorrect. Changing the subject tells the client the topic is off limits.

Source: NIMH: Frequently Asked Questions About Suicide

Practice only. These questions are written by RemoteNurse and are not taken from the NCLEX or any other question bank. RemoteNurse is not affiliated with or endorsed by NCSBN, and practice here does not predict an exam result. Each rationale links the source it rests on.

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