Psychology / lifespan development · practice question

A 16-year-old adolescent at a primary care visit is being evaluated for developmental expectations for adolescent development. Assessment data include the adolescent reports feeling unsafe in a dating relationship. Which nursing action should the nurse take first?

Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026psychology-lifespan-development

Implement the final step of the care plan before assessing the client.Document the client as stable without reassessment.Delegate the initial assessment and clinical judgment to unlicensed assistive personnel.Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.

Answer and explanation

Correct answer

D. Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.

Why

First-action questions on the NCLEX require assessment and safety before treatment, documentation alone, or delegation of nursing judgment.

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A 16-year-old adolescent at a primary care visit is being evaluated for developmental expectations for adolescent development. Assessment data include the adolescent reports feeling unsafe in a dating relationship. Which nursing action should the nurse take first?

Correct answer

Why

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