A nurse is caring for a child with known cognitive impairment. Which of the following is the nurse’s highest priority in the assessment of a child with cognitive impairment?

A. Speech and communication abilities are important, but physical safety must come first to prevent accidents or injuries. B. Safety measures are the highest priority, as children with cognitive impairments may have physical or developmental limitations that increase the risk of falls, accidents, or other harm. C. Cognitive development and educational needs are important but should be addressed after ensuring the child’s physical safety. D. Social and emotional well-being are essential aspects of care, but the immediate focus should be on preventing harm.