Psychiatric / mental health nursing · practice question
A 31-year-old client on an inpatient psychiatric unit is being evaluated for involuntary hold status. Assessment data include the client is withdrawn, flat affect, and refusing meals for 2 days. Which finding requires the nurse to intervene immediately?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026psychiatric-mental-health
Answer and explanation
Correct answer
C. The new finding that withdrawn, flat affect, and refusing meals for 2 days.
Why
Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.
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