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    Ati nur 120 psychiatricmental health proctored exam

    A nurse is performing an admission assessment for a client who is receiving treatment following a situational crisis. Which of the following assessments by the nurse is the highest priority?

    Explanation & Rationale

    A. Asking the client to identify the cause of the crisis: Understanding the cause of the crisis is helpful for planning interventions, but it does not address immediate safety or risk, making it a lower priority. B. Identifying the client's support systems: Knowledge of support systems is important for long-term coping and discharge planning, but it is not the immediate priority when assessing a client in crisis. C. Determining if the client has psychotic thinking: Assessing for psychotic thinking is the highest priority because it directly affects the client’s safety, judgment, and ability to respond to interventions. Immediate identification allows the nurse to implement safety measures and prevent harm. D. Identifying the client's coping skills: Evaluating coping strategies is useful for planning therapeutic interventions, but it is secondary to ensuring the client is not experiencing psychosis or other acute safety risks.

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