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    Rn Hesi Mental Health Proctored Exam 1

    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?

    Explanation & Rationale

    A) While disruptive behavior is a concern, it may not warrant constant observation unless it poses a risk to the client or others. B) Medication refusal is significant but may not directly indicate the need for constant observation unless it leads to behaviors that endanger the client's safety. C) This behavior poses a potential risk to the privacy and safety of other clients and warrants constant observation to ensure the client's safety and prevent disruptions. D) While this behavior may indicate disorganized thinking, it may not directly indicate the need for constant observation unless it is accompanied by behaviors that pose a risk to the client's safety.

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