Question

A client hospitalized with severe depression and suicidal ideation refuses to talk with the nurse. The nurse recognizes that the suicidal client has difficulty: A. Expressing feelings of low self-worth B. Discussing remorse and guilt for actions C. Displaying dependence on others D. Expressing anger toward others

Short answer

Answer: The most suitable reason for the client's refusal to talk to the nurse could be the difficulty in expressing feelings of low self-worth, which are often associated with severe depression and suicidal ideation.

Step-by-step solution

Understanding severe depression and suicidal ideation

Severe depression is a mental health condition in which a person experiences intense feelings of sadness, hopelessness, and despair. Suicidal ideation refers to thoughts and feelings related to ending one's life. Both conditions have a significant impact on an individual's ability to express and process their emotions.

Evaluating Option A

Option A suggests that the client may have difficulty expressing feelings of low self-worth. Given, the presence of severe depression and suicidal ideation, it is likely that a person may struggle with feelings of worthlessness and self-loathing. However, this option focuses on the expression of these feelings, which may not be the primary reason why the client refuses to talk with the nurse.

Evaluating Option B

Option B suggests that the client may have difficulty discussing feelings of remorse and guilt for their actions. Guilt and remorse can be present in individuals with depression, and exploring these feelings may indeed be difficult. However, this option seems to be specific and does not necessarily cover all aspects of communication difficulty that stem from severe depression and suicidal ideation.

Evaluating Option C

Option C suggests the difficulty for the client in displaying dependence on others. Severe depression and suicidal ideation can hinder a person in seeking help from others and show vulnerability. However, it may not necessarily explain why the client refuses to talk with the nurse as it is a broader aspect of the difficulty presented by the condition.

Evaluating Option D

Option D states that the client has difficulty expressing anger toward others. Anger can be an emotion that some people with severe depression and suicidal ideation experience. However, this option does not provide a comprehensive explanation for the client's refusal to talk with the nurse. The difficulty in expressing anger may be present, but it may not be the primary reason behind the client's behavior.

Choosing the best answer

Considering the analysis of all the options, Option A: "Expressing feelings of low self-worth" could be the most suitable answer. The difficulties associated with severe depression and suicidal ideation, such as feelings of despair, hopelessness, and worthlessness, may hinder clients from opening up and discussing their emotions. The refusal to talk with the nurse may be a manifestation of the client's difficulty in expressing their negative thoughts and feelings about themselves.