NCLEX-RN (Registered Nurse) Practice Exam · Question
What is the nurse's priority action when a patient states, 'I want to hurt myself'?
Any statement indicating self-harm requires immediate initiation of a suicide risk assessment to determine the level of danger and implement appropriate safety
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Question: What is the nurse's priority action when a patient states, 'I want to hurt myself'?
Answer options:
- Document the statement in the patient's chart.
- Notify the patient's family immediately. ✅ Initiate a suicide risk assessment.
- Encourage the patient to express their feelings.
Correct answer: Initiate a suicide risk assessment.
Explanation: Any statement indicating self-harm requires immediate initiation of a suicide risk assessment to determine the level of danger and implement appropriate safety measures. This is a critical safety priority.
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