Final answer:
In response to a patient expressing thoughts of harm or su_icide, a nurse should respond empathetically and take immediate action to ensure the patient's safety, communicate the patient's worth, and adhere to hospital protocols for such situations.
Step-by-step explanation:
When a male client expresses thoughts of self-harm or sui_cidal ideation after a motor vehicle collision, such as saying 'Everyone would be better off if I was no longer around,' it is crucial for the nurse to address this immediately. The nurse should respond in a non-judgmental, empathetic manner, ensuring the client's safety first. For example, a professional and appropriate response would be:
'I'm really concerned by what you've just told me. It sounds like you're going through a lot right now and thinking that others would be better off without you. I want you to know that your life is valuable, and we're here to help you through this. Can you tell me more about what you're feeling right now?'
This response opens the conversation, allowing the client to express his feelings, while also providing immediate emotional support and indicating that the healthcare team takes his feelings seriously. After the initial response, the nurse should inform the healthcare team and take steps according to the hospital's protocols for patients at risk for self-harm or sui_cide, which may include conducting a full psychological assessment and ensuring that the patient does not have access to means to harm himself.