Difficulty: Medium
Average Score: 68%
Simulated
A nurse on an inpatient mental health unit is assisting with the admission of a client who reports feeling depressed, sad, moody, and overly anxious. Which of the following assessments should the nurse make first?
Correct answer
A
Rationale
Option A prioritizes safety, critical with depression and anxiety. Option B, C, and D are important but secondary to immediate risk assessment.