Psychosocial Integrity Practice Question
Question
The nurse is caring for a client after a traumatic event and is focused on depression scenario 4. Which nursing action is most appropriate?
Answer choices
- A. Assess suicide risk directly when hopelessness or self-harm cues appear.
- B. Delay assessment until the next scheduled round if the client is not calling for help.
- C. Delegate the clinical assessment and nursing judgment to assistive personnel.
- D. Document the concern without notifying the appropriate provider or care team member when escalation is needed.
Correct Answer
A. Assess suicide risk directly when hopelessness or self-harm cues appear.
Explanation
The priority action for depression is to assess suicide risk directly when hopelessness or self-harm cues appear. NCLEX-style prioritization favors safety, assessment, appropriate delegation, timely escalation, and client-centered teaching.
Question details
- Difficulty: easy
- Domain: Psychosocial Integrity
- Objective: depression