What should a nurse do when a client expresses feelings of worthlessness and powerlessness?

When a client expresses feelings of worthlessness and powerlessness, the most appropriate initial response from the nurse is to assess the client’s current mental state and risks. This is essential because these feelings can be indicators of severe depression or suicidal ideation. A thorough assessment allows the nurse to understand the depth of the client’s emotional state, identify any immediate risks to safety, and determine the support and interventions needed.

Understanding the client's mental state includes evaluating their mood, thought processes, any potential triggers for these feelings, and corresponding behaviors that may pose a risk. This comprehensive evaluation is critical for forming an effective care plan that addresses the client's needs.

In contrast, minimizing the client's feelings or redirecting their focus to positive experiences can invalidate their current emotional state, making them feel unheard or misunderstood. Encouraging positive self-talk may also be beneficial later on, but it typically follows a more comprehensive assessment. Therefore, the initial focus should always be on understanding and evaluating the client's current mental health situation.