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Psychiatric / mental health nursing · practice question

A 16-year-old adolescent on an adolescent psychiatric unit is being evaluated for agitation on an inpatient psychiatric unit. Assessment data include the client has not slept in 3 days and speech is rapid and pressured. Using ABCs and Maslow, which need should the nurse address first?

Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026psychiatric-mental-health
Choose one answer
Answer and explanation

Correct answer

D. Airway, breathing, and circulation problems before comfort or psychosocial needs.

Why

Physiologic stability and ABCs take priority over comfort, teaching, or psychosocial needs when the client is unstable.

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