Psychology / lifespan development · practice question
A client in an outpatient clinic is being evaluated for nursing care related to family systems. Assessment data include the client reports hearing voices telling them to hurt themselves. Which finding requires the nurse to intervene immediately?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026psychology-lifespan-development
Answer and explanation
Correct answer
A. 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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