The psychiatric nurse is caring for clients on an adolescent unit. Which client requires the nurse's immediate attention?
Explanation & Rationale
A. A 16-year-old client diagnosed with major depression who refuses to participate in group: While refusal to participate may warrant assessment and intervention, it does not indicate immediate danger or escalation. B. A 17-year-old client diagnosed with bipolar disorder who is pacing around the lobby: Pacing behavior may indicate anxiety or agitation, but it does not necessarily require immediate attention unless there are signs of escalating behavior or safety concerns. C. An 18-year-old client with antisocial behavior who is being yelled at by other clients: Correct! The client with antisocial behavior being yelled at by other clients indicates a potential conflict or safety issue that requires immediate intervention to prevent escalation or harm to the client or others. D. A 14-year-old client with anorexia nervosa who is refusing to eat the evening snack: Refusal to eat is concerning in a client with anorexia nervosa, but it does not pose an immediate threat to safety compared to the situation involving potential conflict or aggression.