A nurse on a crisis hotline is speaking to a client who says, "I just took an entire bottle of amitriptyline." Which of the following responses should the nurse make?

A. "Were you trying to kill yourself by taking an overdose?" This response is not therapeutic. Asking whether the client was "trying to kill yourself" can be seen as judgmental or accusatory. It could also make the client feel defensive, which might hinder communication. B. "Do you know how many pills were in the bottle?" While gathering information is important, this question is less about the client’s emotional state and more about facts. The priority is to ensure the client’s immediate safety and get help as soon as possible. C. "You must have been feeling pretty depressed to do that." Although this comment acknowledges the client's feelings, it doesn't focus on the immediate need for intervention. It also may minimize the urgency of the situation by focusing on the client’s depression rather than taking action. D. "I'm glad you called, and I want to send an ambulance to help you." This is the best response. It shows relief that the client reached out for help, and it immediately focuses on getting the client the necessary medical attention by sending an ambulance. The nurse should prioritize safety and prompt intervention in such a crisis situation.