Psychiatric / mental health nursing · practice question
A 31-year-old client on an inpatient psychiatric unit is being evaluated for acute emotional crisis. Assessment data include the client has not slept in 3 days and speech is rapid and pressured. Which nursing action should the nurse take first?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026psychiatric-mental-health
Answer and explanation
Correct answer
A. Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.
Why
First-action questions on the NCLEX require assessment and safety before treatment, documentation alone, or delegation of nursing judgment.
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