Which action is the nurse's priority for a newly admitted patient who is anxious?
Explanation & Rationale
Choice A reason: While understanding defense mechanisms can help guide long-term therapeutic strategies, it is not the immediate priority during initial assessment. Defense mechanisms are often unconscious and may not be readily observable or relevant to acute care. Choice B reason: Administering medications may be necessary, but pharmacologic intervention should follow a thorough assessment. Giving medications without understanding the severity or triggers of anxiety could mask symptoms or lead to inappropriate treatment. Choice C reason: Assessing the patient’s level of anxiety is the priority because it informs all subsequent interventions. It helps determine the urgency, safety risks, and appropriate therapeutic approach. This aligns with the nursing process—assessment precedes planning and implementation—and supports individualized care. Choice D reason: Limiting environmental stimuli may help reduce anxiety, but it is an intervention that should be tailored based on the assessment findings. Without first evaluating the patient’s anxiety level, this action may be insufficient or misdirected.