Which symptom should prompt a mental health nurse to assess for possible self-harm in a patient?

The symptom that should prompt a mental health nurse to assess for possible self-harm in a patient is verbal expressions of despair. When a patient openly communicates feelings of hopelessness, worthlessness, or intense emotional pain, it serves as a significant indicator that they may be experiencing suicidal thoughts or considering self-harm. Verbal expressions of despair can reflect deep distress and are often associated with an internal struggle that may lead to harmful behaviors if not addressed.

It's important for mental health professionals to pay close attention to these expressions, as they can guide interventions and support. By assessing the underlying issues behind these feelings, the nurse can provide appropriate help or referrals, ensuring the patient's safety and promoting better mental health outcomes.

In contrast, increased social interactions, absence of depressive symptoms, and heightened motivation to engage can suggest improved mental well-being or recovery. While it is always necessary to maintain a comprehensive understanding of a patient's condition, these factors do not typically indicate a risk of self-harm in the same way that expressions of despair do.