Question

A client on an inpatient psychiatric unit tells the nurse, "I should have died because I am totally worthless." In order to encourage the client to continue talking about feelings, which should be the nurse's initial response?

A. "How would your family feel if you died?"
B. "You feel worthless now, but that can change with time."
C. "You've been feeling sad and alone for some time now?"
D. "It is great that you have come in for help."

Answer 1

Option (C), The nurse's initial response should empathetically invite the client to discuss their feelings further. Option C is the best choice as it reflects understanding and prompts more sharing without making assumptions or suggesting solutions too early.

Step-by-step explanation:

If a client on an inpatient psychiatric unit expresses feelings of worthlessness and a wish to have died, it is important for the nurse to facilitate a safe space for the client to continue sharing these feelings. The initial response should be one that reflects understanding and encourages further communication. Among the options provided, the most suitable initial response by the nurse would be:

C. "You've been feeling sad and alone for some time now?"

This response is empathetic and reflective, and it invites the client to elaborate on their feelings without making assumptions or diverting the conversation to the impact on others or suggesting premature solutions.