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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 Assessment data include the client is withdrawn, flat affect, and refusing meals for 2 days. Which action should the nurse take first?

Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026psychology-lifespan-development
Choose one answer
Answer and explanation

Correct answer

C. Assess airway, breathing, and circulation; address immediate safety risk; then notify the provider per protocol.

Why

NCLEX priority questions require stabilizing the client first using ABCs and focused assessment before comfort measures, documentation only, or delayed escalation.

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