NCLEX · General

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

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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