Difficulty: Medium
Average Score: 75%
Simulated
The nurse is caring for assigned clients in the mental health unit. The nurse should initially follow up on the client who
Correct answer
A
Rationale
Pacing and mumbling in psychosis (A) suggest agitation or worsening symptoms, posing a safety risk requiring immediate follow-up. Increased hand washing (B), therapy refusal (C), and abuse allegations (D) are less urgent, as they are chronic or procedural.