Psychiatric / mental health nursing · practice question
A 42-year-old client in a crisis stabilization unit is being evaluated for acute emotional crisis. Assessment data include the client is pacing aggressively, clenching fists, and refusing to sit. Which assessment approach should the nurse use first?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026psychiatric-mental-health
Answer and explanation
Correct answer
B. Screen for instability, then perform a focused assessment related to the presenting concern.
Why
Assessment begins with stability screening and focused data collection before invasive or delayed actions.
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