Psychology / lifespan development · practice question

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

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

Document the finding and recheck at the end of the shift without further assessment.Offer a warm blanket and reschedule assessment until after lunch.Complete all remaining scheduled tasks before reassessing the client.Assess airway, breathing, and circulation; address immediate safety risk; then notify the provider per protocol.

Answer and explanation

Correct answer

D. Assess airway, breathing, and circulation; address immediate safety risk; then notify the provider per protocol.

Why

NCLEX priority questions require stabilizing the client first using ABCs and focused assessment before comfort measures, documentation only, or delayed escalation.

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

Correct answer

Why

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