Psychology / lifespan development · practice question

A client in an outpatient clinic is being evaluated for nursing care related to stress response. Assessment data include the client has not slept in 3 days and speech is rapid and pressured. Which finding requires the nurse to intervene immediately?

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

A comfort request with unchanged vital signs and no new symptoms.A stable, long-standing finding that matches the expected care plan.The new finding that has not slept in 3 days and speech is rapid and pressured.Routine data unchanged from the prior assessment.

Answer and explanation

Correct answer

C. The new finding that has not slept in 3 days and speech is rapid and pressured.

Why

Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.

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A client in an outpatient clinic is being evaluated for nursing care related to stress response. Assessment data include the client has not slept in 3 days and speech is rapid and pressured. Which finding requires the nurse to intervene immediately?

Correct answer

Why

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