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 reports hearing voices telling them to hurt themselves. Which assessment approach should the nurse use first?

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

Defer assessment until all medications are administered.Begin invasive procedures before any focused assessment.Screen for instability, then perform a focused assessment related to the presenting concern.Use only the chart from admission without current data.

Answer and explanation

Correct answer

C. Screen for instability, then perform a focused assessment related to the presenting concern.

Why

Assessment begins with stability screening and focused data collection before invasive or delayed actions.

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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 reports hearing voices telling them to hurt themselves. Which assessment approach should the nurse use first?

Correct answer

Why

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