The nurse is conducting an admission assessment of a client who has a history of generalized anxiety disorder. After gauging the client's level of anxiety, what other assessment should the nurse prioritize?
A) Determining the client's understanding of factors that contribute to his or her anxiety
B) Determining whether there is potential for the client to harm himself or herself or others
C) Obtaining a set of vital signs including apical heart rate and oxygen saturation
D) Assessing the client's insight into his or her condition and gauging orientation and judgment
Ans: B
In the nursing assessment of the client with anxiety, a priority assessment is determining whether the client poses a threat to himself or herself or to others.
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