A patient with CRF is on dialysis and waiting for a kidney transplant. The patient says, “I am never going to be at the top of the list for a kidney. I wish I could just die and get it over with.”...

A patient with CRF is on dialysis and waiting for a kidney transplant. The patient says, “I am never going to be at the top of the list for a kidney. I wish I could just die and get it over with.” What is the most therapeutic response?

1. “I am sure you are going to get a kidney. A lot of people donate these days.”

2. “Are you thinking about hurting or killing yourself?”

3. “I would be discouraged too, but I have never been very good at waiting.”

4. “You seem really down today. What's going on?”