Psychiatric / mental health nursing · practice question
A 31-year-old client on an inpatient psychiatric unit is being evaluated for panic symptoms. Assessment data include the client reports hearing voices telling them to hurt themselves. Using the clinical judgment model, what is the nurse's first step?
Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026psychiatric-mental-health
Answer and explanation
Correct answer
A. Recognize and analyze relevant cues to determine whether the client is stable or deteriorating.
Why
NCSBN clinical judgment begins with recognizing and analyzing cues before taking action or evaluating outcomes.
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