Psychology / lifespan development · practice question
A client in an outpatient clinic is being evaluated for nursing care related to family systems. 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-2026psychology-lifespan-development
Answer and explanation
Correct answer
A. 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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