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    Hesi rn med surg( adult health) proctored exam ICHS college

    When making assignments on a psychiatric unit, it is most essential for the charge nurse to assign a nurse to which client?

    Explanation & Rationale

    Choice A reason: The client with bipolar disorder who requires discharge teaching is stable enough to prepare for discharge. While teaching is important, it does not represent an immediate safety risk. This client can be assigned to a nurse once more urgent safety needs are addressed. Choice B reason: The client with schizophrenia who is attending scheduled activities demonstrates stability and engagement in treatment. Although ongoing monitoring is necessary, this client does not present the highest risk compared to others. Choice C reason: The client with depression who was admitted during the night and denies suicide ideations is the highest priority. Newly admitted clients with depression are at increased risk for suicide, even if they deny ideation. Denial does not guarantee safety, and close observation is essential during the initial admission period. Assigning a nurse ensures immediate monitoring and intervention if suicidal behaviors emerge. Choice D reason: The client with chronic alcoholism being discharged to a halfway house is stable enough for discharge planning. While support is needed, this client does not present the same acute risk as the newly admitted depressed client.

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