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    Ati Lpn Comprehensive Predictor 2023 Proctored Exam

    A nurse is collecting data from a client who has had major depressive disorder for 5 years. Which of the following statements made by the client would the nurse identify as a covert statement regarding suicide?

    Explanation & Rationale

    A. “I just cannot take this anymore.”: This statement reflects distress, emotional overwhelm, and possible hopelessness. It is an indirect expression of suffering but does not clearly imply a desire to die. It signals the need for support and further assessment but is not a covert suicide statement. B. “I do not want to be here anymore.”: This is a classic covert suicidal statement that implies a passive wish to not exist. It reflects suicidal ideation without directly stating intent or a plan. Such language requires immediate, focused suicide risk assessment and safety planning. C. “I feel that soon everything will be ok.”: This statement suggests optimism or perceived resolution and is not associated with suicidal ideation. While mood shifts should always be monitored in major depressive disorder, this wording does not indicate suicide risk. D. “My family would be better off if I was dead.”: This is an overt suicidal statement that directly references death and perceived burden on others. It reflects significant suicide risk and differs from covert ideation by explicitly mentioning being dead.

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