What is the most appropriate initial response for a nurse when a patient expresses suicidal thoughts?

The most appropriate initial response for a nurse when a patient expresses suicidal thoughts is to ask the patient about their feelings and plans. This approach is essential because it allows the nurse to gather crucial information regarding the patient’s mental state, including the severity of their suicidal ideation, any specific plans they may have, and the overall context of their situation.

Engaging the patient in a conversation about their feelings demonstrates care and concern, helping to build trust and rapport. Furthermore, it opens the door for the patient to express themselves more fully, which is vital in assessing their level of risk. Understanding their thought processes and emotions enables the nurse to tailor an appropriate intervention and develop a safety plan if necessary. This response is aligned with practices in mental health nursing, where actively listening to the patient is a key component of effective assessment and intervention.

Other options may not adequately address the immediate needs of the patient. Reassuring the patient that their situation is just a phase can minimize their feelings and discourage open communication. Contacting the physician immediately without first assessing the patient's thoughts could be premature and may neglect an opportunity for the nurse to offer immediate support. Lastly, encouraging the patient to speak to a family member might not be appropriate unless the nurse has assessed the situation thoroughly