The Nurse Is Performing an Initial Suicide Risk Assessment

The nurse is performing an initial suicide risk assessment. What questions will the nurse include in this assessment? Select all that apply.

A) "Do you have thoughts of suicide?"
B) "Do you have a way to harm yourself?"
C) "Do you have fantasies about hurting yourself?"
D) "Do you have thoughts about the consequences that result from suicide?"
E) "Do you have thoughts about how your family will react if you commit suicide?"