An elderly man, widowed for three months, says he is ready to die. Which nursing response is most appropriate?

An elderly man, widowed for three months, says he is ready to die. Which nursing response is most appropriate?

• A. It sounds like you may be contemplating how your wife's death changes your life; would you like to talk about it?
• B. Are you thinking of ending your life because your time has come?
• C. Have you considered seeking counseling to cope with your loss?
• D. I will help you with daily activities so you can stay comfortable.

Answer: (B)

Directly assessing suicide risk is essential when a patient expresses readiness to die. When an elderly man who has been widowed for a few months says he is ready to die, the nurse needs to ask about his intent in a direct, nonjudgmental way. By asking, “Are you thinking of ending your life because your time has come?” you obtain crucial information about whether he has a plan, the means, and a foreseeable timing, which determines immediate safety actions and the need for mental health support. This direct question conveys concern, validates his feelings, and opens a conversation that can prevent harm. Other responses fail to prioritize safety. Acknowledging grief and inviting discussion about changes in life is supportive but may avoid directly exploring whether he plans to act on suicidal thoughts. Suggesting counseling focuses on coping but does not assess current risk. Offering help with daily activities is considerate but does not address the potential danger or determine safety needs.

Directly assessing suicide risk is essential when a patient expresses readiness to die. When an elderly man who has been widowed for a few months says he is ready to die, the nurse needs to ask about his intent in a direct, nonjudgmental way. By asking, “Are you thinking of ending your life because your time has come?” you obtain crucial information about whether he has a plan, the means, and a foreseeable timing, which determines immediate safety actions and the need for mental health support. This direct question conveys concern, validates his feelings, and opens a conversation that can prevent harm.

Other responses fail to prioritize safety. Acknowledging grief and inviting discussion about changes in life is supportive but may avoid directly exploring whether he plans to act on suicidal thoughts. Suggesting counseling focuses on coping but does not assess current risk. Offering help with daily activities is considerate but does not address the potential danger or determine safety needs.