Psychiatric / mental health nursing · practice question
A 42-year-old client in a crisis stabilization unit is being evaluated for auditory hallucinations. Assessment data include the client reports hearing voices telling them to hurt themselves. Which finding requires the nurse to intervene immediately?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026psychiatric-mental-health
Answer and explanation
Correct answer
B. 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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