Psychiatric / mental health nursing · practice question
A 31-year-old client on an inpatient psychiatric unit is being evaluated for auditory hallucinations. Assessment data include the client states, "I don't want to live anymore" and has a plan with access to means. Which nursing action is the priority to keep the client safe?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026psychiatric-mental-health
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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