Psychiatric / mental health nursing · practice question
A 31-year-old client on an inpatient psychiatric unit is being evaluated for major depressive symptoms. Assessment data include the client reports hearing voices telling them to hurt themselves. Which finding requires the nurse to intervene immediately?
Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026psychiatric-mental-health
Answer and explanation
Correct answer
D. The new finding that reports hearing voices telling them to hurt themselves.
Why
Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.
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