How should a nurse respond to a client diagnosed with depression who expresses feelings of failure?

The most appropriate response in this scenario acknowledges the client’s feelings and opens the door for further discussion while assessing for any risks of self-harm. When a client expresses feelings of failure, it is essential for the nurse to validate those feelings and encourage the client to share more about their emotional state. By saying, "It sounds as if you've been feeling like a failure for a while, do you intend to harm yourself?" the nurse demonstrates empathy and concern while also prioritizing safety.

This approach is crucial because individuals experiencing depression may have thoughts of self-harm or suicide, and it is vital for the nurse to assess for these risks. It encourages the client to engage in a more profound conversation about their feelings and experiences, which can facilitate therapeutic engagement.

The other responses do not adequately address the emotional state of the client or focus on safety. They may inadvertently minimize the client’s feelings or divert the conversation away from the immediate concerns of depression and self-harm risk. Validating the client’s experience and ensuring their safety is the primary goal in such a scenario.