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. Using the clinical judgment model, what is the nurse's first step?

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

Evaluate discharge readiness before addressing acute findings.Document the assessment at the end of the shift and continue the prior plan.Implement the first intervention on the existing care plan without reviewing new data.Recognize and analyze relevant cues to determine whether the client is stable or deteriorating.

Answer and explanation

Correct answer

D. Recognize and analyze relevant cues to determine whether the client is stable or deteriorating.

Why

NCSBN clinical judgment begins with recognizing and analyzing cues before taking action or evaluating outcomes.

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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. Using the clinical judgment model, what is the nurse's first step?

Correct answer

Why

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