Psychiatric / mental health nursing · practice question
A 42-year-old client in a crisis stabilization unit is being evaluated for agitation on an inpatient psychiatric unit. Assessment data include the client is withdrawn, flat affect, and refusing meals for 2 days. Which nursing action is the priority to keep the client safe?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026psychiatric-mental-health
Answer and explanation
Correct answer
D. 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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