NCLEX · Mental Health Disorders

A client with depression states, 'I just don't see the point in anything anymore.' What is the nurse's priority response?

Correct answer

Assess for suicidal ideation by asking directly, 'Are you having thoughts of harming yourself or ending your life?'

  1. A 'Things will get better soon.'
  2. B Change the subject to something positive
  3. C 'You have so much to live for.'
  4. D Assess for suicidal ideation by asking directly, 'Are you having thoughts of harming yourself or ending your life?'

Why this is the answer

A statement of HOPELESSNESS ('don't see the point in anything') from a depressed client is a potential warning sign — the PRIORITY is to ASSESS for SUICIDAL IDEATION by asking DIRECTLY ('Are you having thoughts of harming yourself or ending your life?'). NCLEX psychosocial/mental health safety. Asking directly does NOT increase suicide risk — it opens communication and allows assessment and intervention.

Avoid: false reassurance ('things will get better'), minimizing/dismissing ('you have so much to live for' — can increase guilt), or changing the subject (avoids the concern). If suicidal ideation is present, assess for a plan/means, ensure safety (don't leave alone, remove means), and notify the team. Directly assessing suicide risk when warning signs appear is a critical, heavily tested NCLEX concept.

Source: NCLEX Psychosocial — Assessing Suicidal Ideation

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About this topic: Mental Health Disorders

Mental health disorders questions cover mood, anxiety, psychotic, personality and eating disorders: assessment findings, priority safety concerns, medications and the therapeutic milieu. This is one of 23 RN: Psychosocial Integrity questions on mental health disorders, each with a full explanation on a single study page.

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