Psychology / lifespan development · practice question

A 78-year-old client in a long-term care facility is being evaluated for nursing care related to older adult changes. Assessment data include the client has unintentional weight loss and difficulty preparing meals. Which nursing action is the priority to keep the client safe?

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

Apply the first intervention in the policy manual without a current assessment.Delegate the initial assessment and clinical judgment to unlicensed assistive personnel.Leave the client alone to promote independence while finishing charting.Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.

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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A 78-year-old client in a long-term care facility is being evaluated for nursing care related to older adult changes. Assessment data include the client has unintentional weight loss and difficulty preparing meals. Which nursing action is the priority to keep the client safe?

Correct answer

Why

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