At what point should the process of preparing for client discharge begin?

Choice A rationale
Regression is a defense mechanism where an individual reverts to a previous stage of development in response to a stressful situation. This is not demonstrated in the patient’s statement.
Choice B rationale
Rationalization involves creating logical but untrue explanations to justify unacceptable behavior or feelings. In this scenario, the patient is rationalizing their failure to take their medication by blaming their partner’s forgetfulness.
Choice C rationale
Projection involves attributing one’s own unacceptable thoughts or feelings to others. This is not demonstrated in the patient’s statement.
Choice D rationale
Repression involves unconsciously blocking out painful or uncomfortable thoughts or feelings. This is not demonstrated in the patient’s statement.

Choice A rationale
While understanding a patient’s past experiences can provide context for their current emotional state, it may not directly address the immediate risk of suicide. It’s important to focus on the present situation and the patient’s current feelings.
Choice B rationale
If a patient has a specific plan for suicide, it indicates a higher level of risk. By asking about their plan, the nurse can assess the immediacy and severity of the patient’s suicidal intent. This information is crucial for determining the appropriate level of care and intervention.
Choice C rationale
This question could be interpreted as validating or encouraging the patient’s suicidal thoughts. It’s essential to promote safety and positive coping strategies, rather than focusing on the perceived benefits of suicide.
Choice D rationale
While it’s important to understand the feelings driving a patient’s suicidal thoughts, asking why they want to end their life can come across as judgmental. It’s more helpful to ask about their feelings and listen empathetically.