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Psychiatric / mental health nursing · practice question

A 42-year-old client in a crisis stabilization unit is being evaluated for major depressive symptoms. Assessment data include the client is withdrawn, flat affect, and refusing meals for 2 days. Using the clinical judgment model, what is the nurse's first step?

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

Correct answer

C. Recognize and analyze relevant cues to determine whether the client is stable or deteriorating.

Why

NCSBN clinical judgment begins with recognizing and analyzing cues before taking action or evaluating outcomes.

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