Psychology / lifespan development · practice question

A client in an outpatient clinic is being evaluated for nursing care related to grief and coping. Assessment data include the client states, "I don't want to live anymore" and has a plan with access to means. Which nursing action should the nurse take first?

Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026psychology-lifespan-development

Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.Document the client as stable without reassessment.Implement the final step of the care plan before assessing the client.Wait for the provider's routine visit before acting on abnormal findings.

Answer and explanation

Correct answer

A. Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.

Why

First-action questions on the NCLEX require assessment and safety before treatment, documentation alone, or delegation of nursing judgment.

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A client in an outpatient clinic is being evaluated for nursing care related to grief and coping. Assessment data include the client states, "I don't want to live anymore" and has a plan with access to means. Which nursing action should the nurse take first?

Correct answer

Why

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