A nurse is caring for a client who was admitted following a failed suicide attempt. Which client statement is most concerning?

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A client who has attempted suicide is at risk for repeated attempts and completion of suicide. After beginning treatment (eg, antidepressant therapy), clients are at even higher risk because they begin to have more energy, allowing them to follow through with suicide plans. The nurse should assess the client's verbal and nonverbal cues and recognize that a sudden positive outlook is a sign that the client may have determined a plan for suicide and is at peace knowing the plan (Option D). The nurse should directly ask the client about a suicide plan. (Options A and B) Hopelessness (belief that a situation is intolerable, inescapable, or unending) and anger are expected reactions to a failed suicide attempt. The nurse should encourage clients to share feelings to build rapport, support the client, and decrease feelings of isolation during an acute suicidal episode. (Option C) It is common for clients with depression and recent suicidal ideation to have either insomnia or excessive sleep. If sleep disturbances continue after the therapeutic effect of prescribed antidepressants should have occurred, the medication regimen may require adjustment. Educational objective: Clients who have attempted suicide are at risk for repeated attempts and completion of suicide. The nurse should assess the client's behaviors and comments, and if a client has a sudden positive outlook, the nurse should directly ask about a suicide plan.

A Nurse Is Caring for a Client Who Was Admitted