The 17-year-old male patient is brought to the clinic for a yearly check-up. The nurse observes the patient to be unkempt, with greasy hair and significant body odor. The patient has a flat affect during questioning. When the nurse provides education on safety practices such as wearing a seatbelt when in the car, not driving with impaired persons, and using protection during sexual intercourse, the patient retorts, “I don’t really see the point in wearing a seatbelt, if it helps me die more quickly.” Which initial response by the nurse is most appropriate?

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