An alcoholic client expresses feelings of depression about familial consequences. What should the nurse assess for?

An alcoholic client expresses feelings of depression about familial consequences. What should the nurse assess for?

• A. Family support
• B. A plan for self-harm
• C. A sponsor for the client
• D. Other ambivalent feelings

Answer: (B)

When a client with a history of alcoholism expresses feelings of depression, it is crucial for the nurse to assess for a plan for self-harm. This assessment is particularly important due to the increased risk of suicidal ideation among individuals struggling with substance abuse and concomitant mental health issues. The feelings of depression, combined with potential family-related stressors, may heighten the client's vulnerability, prompting the need for a thorough evaluation of safety and risk. Identifying any specific plans or intent to self-harm helps the nurse determine the immediacy of the client's situation and guides interventions needed to ensure their safety. By assessing for self-harm plans, the nurse can provide appropriate mental health support or crisis intervention if necessary. A focus on the client's safety is paramount in the nursing assessment process, especially in cases involving substance abuse where emotional distress is common.

When a client with a history of alcoholism expresses feelings of depression, it is crucial for the nurse to assess for a plan for self-harm. This assessment is particularly important due to the increased risk of suicidal ideation among individuals struggling with substance abuse and concomitant mental health issues. The feelings of depression, combined with potential family-related stressors, may heighten the client's vulnerability, prompting the need for a thorough evaluation of safety and risk.

Identifying any specific plans or intent to self-harm helps the nurse determine the immediacy of the client's situation and guides interventions needed to ensure their safety. By assessing for self-harm plans, the nurse can provide appropriate mental health support or crisis intervention if necessary. A focus on the client's safety is paramount in the nursing assessment process, especially in cases involving substance abuse where emotional distress is common.