The following clients are seen in the emergency department. The psychiatric unit has one remaining bed. The triage nurse should expect which client to be admitted?
A. The client who is experiencing tremors and has a need for medication adjustment
B. The client who is experiencing anxiety and a sad mood after separation from spouse
C. The client who is a single parent and hears voices stating, "Kill your infant son."
D. The client who argued with her boyfriend and inflicted a superficial cut on her arm
ANS: C
In the assessment phase of the nursing process, the nurse collects comprehensive health data that are pertinent to the client's health or situation. These data are prioritized to meet client needs, with an emphasis on safety.
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