Free NCLEX-PN Practice Questions Practice Question
The nurse on the psychiatric unit is caring for several clients. Which client needs the most immediate attention?
Correct Answer: C
Rationale: Option C requires the most immediate attention due to the client's active agitation and potential for harm to himself or others. Screaming and running around indicates a high level of distress and possible risk for violence or self-injury.
Option A, while concerning, involves pacing, which may not pose an immediate threat. Option B, although the client is in emotional distress, is less urgent than the active behaviors seen in Option C. Option D reflects withdrawal and may indicate severe depression or psychosis, but it does not require immediate intervention compared to the escalating behavior of the client in Option C. Prioritizing safety is crucial in psychiatric care.
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