What is the first step a nurse should take when managing a client who has expressed feelings of worthlessness?

The first step a nurse should take when managing a client who has expressed feelings of worthlessness is to understand the underlying causes for these feelings. This approach is foundational because it allows the healthcare provider to gain insight into the client's personal experiences, thoughts, and emotions that contribute to their sense of worthlessness. By exploring these underlying issues, the nurse can better assess the client's mental health status, identify any potential psychological or situational factors at play, and establish a trusting therapeutic relationship.

Understanding the root causes is crucial for tailoring interventions that are appropriate and effective for the individual. It guides the nurse in developing a comprehensive care plan that addresses the client's specific needs and can lead to more meaningful conversations about coping strategies, therapy options, or medication if necessary. Without this understanding, any further interventions may not adequately address the client's true concerns and could miss opportunities for effective support.

This foundational step sets the stage for subsequent actions, as it ensures that any coping strategies, group therapies, or discussions about medication are relevant and grounded in the client's actual experiences and feelings, maximizing the potential for positive outcomes.