Exam NCLEX-RN topic 5 question 57 discussion

Actual exam question from Test Prep's NCLEX-RN

Question #: 57
Topic #: 5

A male client is admitted to the psychiatric unit after experiencing severe depression. He states that he intends to kill himself, but he asks the nurse not to repeat his intentions to other staff members. Which response demonstrates understanding and appropriate action on the part of the nurse?

A. "I understand you’re depressed, but killing yourself is not a reasonable option."
B. "We need to discuss this further, but right now let’s complete these forms."
C. "Don’t do that, you have so much to live for. You have a wonderful wife and children. The client in the next room has no one."
D. "This is very serious. I do not want any harm to come to you. I will have to report this to the rest of the staff."

Show Suggested Answer

Suggested Answer: D 🗳️
(A) To the client, suicide may be a reasonable action and the only one he can cope with at this time. (B) This response indicates to the client that his intention to commit suicide is not important to the nurse at this time. (C) The client is so depressed that he is not able to see the positive aspects of his life. At no time should the nurse discuss another clients problems in conversation. (D) This statement tells the client that the nurse recognizes his problem is of a serious nature and will take all steps necessary to help him.

by [deleted] at March 10, 2025, 7:02 a.m.

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