RN Exam Practice
Psychosocial IntegrityQuestion 946 of 2368

On the ASQ suicide screening tool, a client answers "yes" to having wished they were dead in the past few weeks. What should the nurse do next?

  1. Consider the screen complete and document that the client has no risk
  2. Ask whether the client is having thoughts of killing themselves right now
  3. Give the client a pamphlet about crisis services and end the screening
  4. Ask the client to sign a written promise not to harm themselves again
Show answer

Correct answer: Ask whether the client is having thoughts of killing themselves right now

A yes to any of the first four questions is a positive screen, so the nurse must ask the acuity question about current thoughts.

Source: Nursing Health Promotion (Open RN, Chippewa Valley Technical College, 2025), Mental Health Conditions: Suicide Risk Screening. Licensed under CC BY 4.0.

Practice the topic "Psychosocial Integrity"

Questions last reviewed: 18 October 2026