Difficulty: Medium
Average Score: 66%
Simulated
A client who refuses antipsychotic medications disrupts group activities, talks with nonsensical words, and wanders into client's rooms. The nurse decides that the client needs constant observation based on which of these assessment findings?
Correct answer
B
Rationale
Wandering into client's rooms poses a safety risk to both the client and others, indicating a need for constant observation to prevent potential harm.