Psychology / lifespan development · practice question

A client in an outpatient clinic is being evaluated for nursing care related to grief and coping. Assessment data include the client reports hearing voices telling them to hurt themselves. Which nursing action is the priority to keep the client safe?

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

Leave the client alone to promote independence while finishing charting.Apply the first intervention in the policy manual without a current assessment.Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.Apply restraints without assessing less restrictive safety options first.

Answer and explanation

Correct answer

C. 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 client in an outpatient clinic is being evaluated for nursing care related to grief and coping. Assessment data include the client reports hearing voices telling them to hurt themselves. Which nursing action is the priority to keep the client safe?

Correct answer

Why

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