A nurse is caring for a client who has major depressive disorder and attempted suicide. The client tells the nurse, "I should have died because I am totally worthless." Which of the following responses should the nurse make?

A. "You've been feeling that your life has no meaning" is a therapeutic response. It acknowledges the client’s feelings and opens up space for further discussion. It validates their emotional state without reinforcing the negative belief of worthlessness. It also provides an opportunity for the nurse to explore the client's feelings more deeply. B. "You have a great deal to live for" may be well-intentioned, but it minimizes the client’s feelings and can sound dismissive. The client is in a vulnerable state, and offering reassurance without addressing the underlying emotions might not be helpful at this moment. C. "It's not unusual for depressed people to feel that way" might make the client feel as though their pain is being trivialized. It is important to acknowledge their feelings and not downplay their experience, especially in a suicidal crisis. D. "Why do you feel you are worthless?" While it might seem like an appropriate question, it may be too confrontational or might put the client on the defensive. It is important to maintain a supportive and empathetic approach when the client is in crisis.