Practice Question
A nurse in a community health clinic is assessing a client who has 2 preschoolers, was recently divorced, and is seeking help for managing depression. Which of the following statements should the nurse ask first?
Answer Choices:
Correct Answer:
Are you having any thoughts of hurting yourself
Rationale:
🔷 The first priority in mental health assessments is to evaluate for risk of self-harm or suicide, which is a safety concern.
🔷 This approach aligns with the principle of Maslow’s hierarchy, where safety is a fundamental priority.
🔷 Asking directly about suicidal ideation is a therapeutic and evidence-based intervention to ensure immediate support.
🔷 Identifying thoughts of self-harm helps the nurse implement crisis prevention measures and referrals promptly
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This question is from RN Community Health~2025 April which contains 60 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Community Health
- Answer Choices: 4