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Psychiatric / mental health nursing · practice question

A 31-year-old client on an inpatient psychiatric unit is being evaluated for expressions of hopelessness. Assessment data include the client has not slept in 3 days and speech is rapid and pressured. Which nursing action is the priority to keep the client safe?

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

Correct answer

B. Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.

Why

Client safety requires direct assessment, hazard reduction, and timely escalation rather than assumptions, abandonment, or policy-only actions.

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